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Michigan 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 / $0.45 / $0.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.45 / $0.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.14 / $0.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $2.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.44 / $4.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.57 / $3.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.44 / $0.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.28 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.44 / $0.47