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California rates for HCPCS J7643

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

Facilitymedian $1 · 10th–90th $1–$40%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.95 / $4.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.26 / $1.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.89 / $1.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $1.86
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.89 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.45 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $1.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.52 / $0.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.89 / $1.41