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Florida 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
$23.92 / $154.56 / $257.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $16.93
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $15.30 / $15.30
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $16.16 / $16.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $22.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $16.93 / $16.93