go back

Georgia rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $85.11 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $14.13 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $14.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $34.67 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $33.88