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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.36 / $1.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.44 / $7.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.70 / $0.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.63 / $3.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.46 / $0.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.45 / $1.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.57 / $2.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.53 / $1.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.53