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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
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.44 / $0.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.43 / $1.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $2.83 / $2.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $2.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.44 / $4.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.44 / $0.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.23 / $0.38