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Kansas 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 / $1.28 / $3.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.47 / $3.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.15 / $2.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.44 / $2.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.44 / $2.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.28 / $3.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.44 / $0.75