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Colorado 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
$24.94 / $24.94 / $24.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.12
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.89
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.76 / $1.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.00 / $91.00 / $91.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.89 / $0.89