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Nationwide rates for HCPCS J7643

Glycopyrrolate, inhalation solution, compounded product, administered through DME, unit dose form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.82 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.15 / $2.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.15 / $1.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.85 / $1.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.36 / $0.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.89 / $0.93