| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.95 | $0.95 | $0.95 | |
BCBS
| Professional | $42.50 | $50.00 | $50.00 | |
United
| Professional | $0.42 | $1.04 | $1.04 |
Glycopyrrolate, inhalation solution, compounded product, administered through DME, concentrated form, per mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.95 | $0.95 | $0.95 | |
BCBS
| Professional | $42.50 | $50.00 | $50.00 | |
United
| Professional | $0.42 | $1.04 | $1.04 |