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Oregon rates for HCPCS J7643

Glycopyrrolate Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.98 / $2.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $13,910.16 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.98 / $2.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.76 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.02