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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

Facilitymedian $3 · 10th–90th $0–$110%20%10th90th$3Professionalmedian $1 · 10th–90th $1–$30%20%10th90th$1$0.1$0.2$1.0$5.0$20.0$100.0

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
$3.31 / $3.47 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.55 / $4.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.38 / $2.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.51 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $1.35 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.28 / $0.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.39 / $0.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.91 / $1.12