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Oregon 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 $0–$20%10%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$0.1$0.5$2.0$10.0$50.0

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
$1.00 / $1.70 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.58 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.81 / $1.10
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.85 / $1.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.89 / $1.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.49 / $0.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.91 / $1.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.81 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.91 / $1.10