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New Jersey rates for HCPCS J7631

Cromolyn Sodium Inhalation Solution Administered Through Dme Unit Dose Form Per 10 Milligrams (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.44 / $0.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $1.92 / $2.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.44 / $2.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $2.50 / $2.83
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.44 / $3.97