go back

Montana 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
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $7.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $11.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.44 / $11.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.47 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44