go back

Virginia 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
$0.44 / $0.46 / $0.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.45 / $0.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.79 / $1.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $2.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.44 / $4.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.46 / $0.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.46 / $3.91
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.56 / $3.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.56 / $3.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.44 / $0.47