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Idaho 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
$0.28 / $0.28 / $0.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.48 / $0.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.44 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.44 / $2.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.46 / $0.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.28 / $0.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.62