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Illinois 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
$1.17 / $1.58 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.17 / $3.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $3.89 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $2.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $25.70 / $31.62
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.48 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.91 / $1.62