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Georgia 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 / $75.01 / $219.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.45 / $20.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $16.60 / $16.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $15.30 / $15.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $15.30 / $30.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $14.43 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $13.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $23.41