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Arizona 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
$16.60 / $30.72 / $90.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $20.49 / $39.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $57.77 / $96.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.27 / $16.39 / $97.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $15.30 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $22.34 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $16.93 / $16.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30