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Ohio rates for HCPCS J7631

Cromolyn sodium, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 10 mg

Facilitymedian $2 · 10th–90th $1–$30%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$0.1$0.2$1.0$5.0$20.0$100.0

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
$1.05 / $1.95 / $3.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $2.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.74 / $5.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.83 / $1.45
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.44 / $0.44
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.44 / $0.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $1.74 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $2.82
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.91 / $2.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $3.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.85 / $1.32
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.35 / $1.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.28 / $0.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.91 / $1.00