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See a sample rate comparisonHCPCS J7643 (Glycopyrrolate) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Glycopyrrolate, inhalation solution, compounded product, administered through DME, unit dose form, per milligram
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Inhalation Solutions |
| Common Place of Service | None 11 - Office 24 - Ambulatory Surgical Center |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7643 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 38779-2087-03 - GLYCOPYRROLATE (U.S.P.) • 38779-2087-06 - GLYCOPYRROLATE (U.S.P.) • 51552-0042-01 - GLYCOPYRROLATE (U.S.P.) • 51927-1575-00 - GLYCOPYRROLATE (U.S.P.) |
National average reimbursement for HCPCS J7643 by major payers:
$6.94
$0.92
$1.65
$0.93
Compare published rates across providers.
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HCPCS J7643
5 of 25 sample ratesHigher to lower in this preview
Mary Hitchcock Memorial Hospital, Mhmh Regional Services
Mary Hitchcock Memorial Hospital
$2.14Published rateLexington County Health Services District Inc, Lexington Medical Center
Lexington Health Inc
$1.21Published rateMichael Koch
Chestatee Pathology Associates PC
$0.88Published rateGreen Clinic Surgical Hospital, LLC
Green Clinic Surgical Hospital LLC
$0.88Published rateBothwell Regional Health Center, Bothwell Anesthesia Services
Bothwell Regional Health Center
$0.67Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J7643 vs. Other Inhalation Solutions Codes
The HCPCS J7643 code is part of the Drugs Administered Other than Oral Method services used for Inhalation Solutions. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J7643 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 38779-2087-03-NDC | Moderate | GLYCOPYRROLATE (U.S.P.) |
| 38779-2087-06-NDC | Moderate | GLYCOPYRROLATE (U.S.P.) |
| 51552-0042-01-NDC | Moderate | GLYCOPYRROLATE (U.S.P.) |
| J7643-HCPCS | Low | Glycopyrrolate, inhalation solution, compounded product, administered through DME, unit dose form, per milligram |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7643. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7643 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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