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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

Facilitymedian $1 · 10th–90th $0–$10%50%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%50%10th90th$1$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.71 / $3.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $2.69 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $0.91 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $2.82
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.91 / $1.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.98 / $1.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $0.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.87 / $0.98
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.12 / $0.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.91 / $0.91