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Kentucky 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 $1–$20%50%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%50%90th$1$0.1$0.2$1.0$5.0$20.0$100.0

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
$1.29 / $1.55 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.95 / $0.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.44 / $0.71
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.46 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $2.95 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $2.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.12 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.91 / $0.91