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Glycopyrrolate, Unit Dose Inhalation Solution

Illinois rates for HCPCS J7643

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

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$20%50%10th90th$2Professionalmedian $1 · 10th–90th $1$600%20%10th90th$1$0.1$0.5$2.0$10.0$50.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$1.55
Typical High
$1.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.98
Typical High
$1.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.02
Median
$1.26
Typical High
$1.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$0.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$57.54
Typical High
$75.86
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$0.76
Typical High
$0.89
United
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.89
Typical High
$0.93