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Maryland 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
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $2.82 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $2.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.91 / $2.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.12 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.91 / $0.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.76 / $1.23