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North Carolina 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
$0.47 / $1.15 / $5.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $1.15 / $2.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.62 / $6.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $3.26 / $8.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.44 / $2.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $1.15 / $1.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.44 / $0.56
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00