go back

Alaska rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $123.03 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $34.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $41.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $48.98 / $77.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $34.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.50 / $85.11