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Massachusetts 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
$0.44 / $0.44 / $0.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.44 / $0.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $1.28 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.44 / $0.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.56 / $1.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.44 / $2.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $1.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.44 / $3.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.44 / $3.97