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Arkansas rates for HCPCS J3410

Injection Hydroxyzine Hcl Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.36 / $45.48 / $141.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $18.36 / $20.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.37 / $18.37 / $18.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $18.37 / $18.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $15.30 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.54 / $15.30 / $31.18