go back

Texas rates for HCPCS J7631

Cromolyn sodium, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 10 mg

Facilitymedian $5 · 10th–90th $1$280%5%10%10th90th$5Professionalmedian $1 · 10th–90th $0$30%20%10th90th$1$0.1$0.2$1.0$5.0$20.0$100.0

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
$1.26 / $1.86 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.23 / $3.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $14.13 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $2.14 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $2.82
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.91 / $1.38
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.10 / $2.75
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.78 / $0.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.95 / $2.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $2.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.35 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.91 / $0.91
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91