Cromolyn Inhalation Solution

Vermont rates for HCPCS J7631

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

Rates data updated July 2026.

How much does Cromolyn Inhalation Solution cost?

$0.81per 10 mg

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $0.81 for each 10 mg of this drug. The price depends on where it is billed: about $0.81 from a physician practice, and about $0.49 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

Amount givenmg

In a doctor's office or clinic: $0.81
At a hospital outpatient department: $0.49

The same drug, in the same amount, costs 40% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$0.81	$0.81 to $0.91
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$0.49	$0.49 to $0.49

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $1 · 10th to 90th $1 to $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier Global Typical Low $0.81 Median $0.81 Typical High $1.38	Professional	Global	$0.81	$0.81	$1.38
BCBS Setting Facility Modifier Global Typical Low $0.49 Median $0.49 Typical High $0.49	Facility	Global	$0.49	$0.49	$0.49
Cigna Setting Facility Modifier Global Typical Low $0.49 Median $0.81 Typical High $0.91	Facility	Global	$0.49	$0.81	$0.91
Cigna Setting Professional Modifier Global Typical Low $0.49 Median $0.81 Typical High $0.81	Professional	Global	$0.49	$0.81	$0.81
United Setting Facility Modifier Global Typical Low $0.09 Median $0.36 Typical High $1.02	Facility	Global	$0.09	$0.36	$1.02
United Setting Professional Modifier Global Typical Low $0.85 Median $0.91 Typical High $2.69	Professional	Global	$0.85	$0.91	$2.69

Where Vermont sits

The same service costs 1.6 times more in Hawaii than in Tennessee. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 46th of 51

$0.81

HI $1.32TN $0.81

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.