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Illinois 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
$0.28 / $0.53 / $0.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.44 / $0.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $3.83 / $52.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $2.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.44 / $0.80
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $19.77 / $31.48
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
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $1.21