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Indiana 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 / $1.06 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.44 / $0.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.88 / $1.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.44 / $0.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.44 / $2.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.44 / $0.60