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Washington, DC rates for HCPCS J7631

Cromolyn Sodium Inhalation Solution Administered Through Dme Unit Dose Form Per 10 Milligrams (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.82 / $1.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.79 / $1.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.44 / $2.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $2.77 / $2.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.37 / $0.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.44 / $0.44