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Colorado 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
$17.94 / $33.86 / $74.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $17.94 / $20.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $27.54 / $48.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $14.43 / $20.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $16.21 / $25.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $16.82 / $25.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30