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Florida rates for HCPCS J7643

Glycopyrrolate Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.74 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.74 / $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 / $0.76
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.08 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $99,999.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.89 / $0.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76