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Oregon rates for HCPCS J7643

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

Facilitymedian $2 · 10th–90th $1–$20%50%10th$2Professionalmedian $1 · 10th–90th $1–$50%20%40%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$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
$1.78 / $1.78 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.51 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.98 / $2.19
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $5.01 / $5.01
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.89 / $2.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.89 / $1.02