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New York 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
$1.12 / $1.51 / $2.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.15 / $2.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.63
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $2.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.00 / $2.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.58 / $0.87 / $2.82
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.46
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.45 / $0.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.15 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.91 / $1.41
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.45 / $0.48