go back

Iowa 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
$0.44 / $3.26 / $3.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $1.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.83 / $2.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.35 / $0.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $1.64 / $23.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $1.12 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.28 / $0.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.35 / $1.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.67 / $6.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.44 / $0.56
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.28 / $0.31