go back

North Dakota 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
$0.44 / $0.44 / $0.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.44 / $0.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.47 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.66 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.28 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.44 / $0.49