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New Hampshire 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 $1–$30%10%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$0.1$0.2$0.5$1.0$2.0$5.0

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
$1.02 / $1.15 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $2.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.70 / $2.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.58 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.32 / $1.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.91 / $2.19
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51