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Ohio rates for HCPCS J7643

Glycopyrrolate Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.93 / $2.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.74 / $2.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.09 / $1.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.40 / $2.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04
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 / $0.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.56 / $2.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.89 / $0.95