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Nebraska 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
$0.28 / $0.44 / $0.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.44 / $7.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.50 / $0.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.47 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.83 / $2.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.38 / $2.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.53 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.28 / $3.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.35 / $1.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.97 / $7.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.44 / $0.79