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Washington, DC rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $38.02 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $12.88 / $12.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.88 / $12.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $20.89