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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.95 / $3.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.15 / $3.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.95 / $5.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.44 / $0.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.44 / $0.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $2.82
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.91 / $2.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $3.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.85 / $1.32
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.00 / $1.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.91 / $1.07