go back

Oregon 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
$1.00 / $1.70 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.58 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $2.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.79 / $0.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.98 / $1.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $1.00 / $1.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.55 / $0.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.91 / $2.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.81 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.91 / $1.10