go back

North Dakota rates for HCPCS J7643

Glycopyrrolate Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.13 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.89 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.89 / $0.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.89 / $1.17