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Washington 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–$20%20%40%10th90th$2Professionalmedian $1 · 10th–90th $0–$30%20%40%10th90th$1$0.0$0.1$0.5$2.0$10.0$50.0

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
$1.07 / $1.82 / $1.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.98
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $1.07 / $3.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $75.86 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.66 / $0.91
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $2.69 / $10.00
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.43 / $0.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.12 / $0.28
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
$0.81 / $0.81 / $1.05