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New Jersey 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–$1950%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$30%20%10th90th$1$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$1.15 / $1.38 / $2.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.10 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.81 / $1.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $2.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $2.63 / $2.82
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $11,481.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $2.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $3.80 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.91 / $1.12