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

Facilitymedian $1 · 10th–90th $0–$40%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%20%40%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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.10 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $1.00 / $2.00
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $1.00 / $2.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.81 / $8.32
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $1.15 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91