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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $1.45 / $1.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.81 / $0.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $2.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $1.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $4.55 / $7.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.59 / $3.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $4.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.47 / $3.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.66 / $1.32