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Missouri 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
$3.31 / $3.47 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.55 / $4.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.55 / $2.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.56 / $0.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.91 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $2.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $1.35 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.28 / $0.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.39 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.91 / $1.12