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Glycopyrrolate, Unit Dose Inhalation Solution

Pennsylvania rates for HCPCS J7643

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$7590%20%10th90th$1Professionalmedian $1 · 10th–90th $1$10%50%90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$1.23
Typical High
$1.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$0.76
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$1.45
Typical High
$2.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$0.76
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$1.23
Typical High
$1.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$0.79
United
Setting
Facility
Modifier
Global
Typical Low
$0.36
Median
$0.36
Typical High
$0.83
United
Setting
Professional
Modifier
Global
Typical Low
$0.36
Median
$0.89
Typical High
$1.02