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Alaska rates for HCPCS J7631

Cromolyn sodium, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 10 mg

Facilitymedian $1 · 10th–90th $1–$10%50%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%20%40%10th90th$1$0.2$1.0$5.0$20.0$100.0

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
$5.89 / $5.89 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.81 / $0.81
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.95 / $0.98
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.00 / $2.63
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $2.69 / $7.24
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.63 / $3.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $0.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.81 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.38 / $2.75