| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.76 | $0.76 | $1.13 | |
HMSA
| Professional | $1.26 | $1.26 | $1.26 | |
United
| Professional | $0.83 | $0.89 | $1.34 |
Glycopyrrolate, inhalation solution, compounded product, administered through DME, unit dose form, per mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $0.76 | $0.76 | $1.13 | |
HMSA
| Professional | $1.26 | $1.26 | $1.26 | |
United
| Professional | $0.83 | $0.89 | $1.34 |