go back

Arizona 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
$0.43 / $0.88 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.48 / $7.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $1.12 / $2.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.35 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.44 / $0.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.44 / $2.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.31 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44