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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

Facilitymedian $3 · 10th–90th $2–$30%20%10th90th$3Professionalmedian $1 · 10th–90th $0–$50%20%10th90th$1$0.1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.63 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.07 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.40 / $0.40
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $4.90 / $4.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $2.63 / $3.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $1.00 / $1.82
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $2.82
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $4.90 / $4.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.12 / $0.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.91 / $0.98