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Louisiana 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 / $0.44 / $0.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.44 / $0.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $2.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.44 / $0.92