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

Facilitymedian $2 · 10th–90th $1–$30%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$10%20%40%10th90th$1$0.1$0.5$2.0$10.0

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
$1.05 / $2.04 / $2.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.07
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.45 / $0.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.58 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $2.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.81 / $3.09
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.46
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.95 / $1.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.95 / $1.05
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.07 / $3.16
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $1.07 / $3.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.28 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.91 / $0.95