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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

Facilitymedian $2 · 10th–90th $1–$50%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$30%50%90th$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
$1.07 / $2.63 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $3.31 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.23 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $2.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.00 / $1.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.93 / $1.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.28 / $0.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.91 / $0.91
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00