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Pennsylvania 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%20%10th90th$2Professionalmedian $1 · 10th–90th $1$30%20%10th90th$1$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$1.35 / $2.24 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.38 / $5.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $1.00 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $2.82 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.17
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $2.63 / $2.82
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.41
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $2.40 / $9.77
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $1.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $1.41 / $1.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.12 / $0.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.91 / $1.51