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Wisconsin rates for HCPCS J7631

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

Facilitymedian $1 · 10th–90th $0–$50%10%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$0.1$0.2$1.0$5.0$20.0$100.0

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
$1.38 / $1.82 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.55 / $2.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.07 / $1.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.26 / $1.70
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.87 / $0.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.36 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.28 / $0.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $54.95 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.81 / $1.35
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.28 / $0.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.91 / $1.29