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Washington, DC 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
$15.30 / $47.74 / $64.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $22.57 / $38.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $14.43 / $15.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $13.01 / $15.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.92 / $15.30 / $24.80