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Connecticut 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
$15.91 / $25.25 / $42.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $15.91 / $15.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.05 / $23.26 / $45.86
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
$15.30 / $15.30 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.87 / $16.60 / $19.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $15.30 / $33.75