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Minnesota rates for HCPCS J7643

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

Facilitymedian $14 · 10th–90th $3–$290%20%10th90th$14Professionalmedian $14 · 10th–90th $1–$140%50%10th90th$14$0.1$0.5$2.0$10.0$50.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $87.10 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $28.84 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $14.13 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.80 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.29 / $1.45
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.63 / $4.27
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.89 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.89 / $1.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.89 / $1.38