go back

Louisiana rates for HCPCS J7643

Glycopyrrolate Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.00 / $67.00 / $67.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.89 / $0.94