go back

Iowa rates for HCPCS J7643

Glycopyrrolate Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.97 / $43.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.13 / $1.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $51.41 / $62.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $57.67 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.89 / $1.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $5.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.54 / $5.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.45 / $0.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.89 / $1.15