go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.44 / $2.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.44 / $2.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.44 / $3.97