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Glycopyrrolate, Unit Dose Inhalation Solution

Arizona rates for HCPCS J7643

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

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$30%20%10th90th$2Professionalmedian $1 · 10th–90th $1$10%20%40%10th90th$1$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$2.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.62
Median
$0.74
Typical High
$0.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$1.20
Typical High
$1.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$1.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$95.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.89
Typical High
$0.89
United
Setting
Facility
Modifier
Global
Typical Low
$0.36
Median
$0.36
Typical High
$0.89
United
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$0.89
Typical High
$0.89