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Idaho rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $15 · 10th–90th $2–$1100%10%10th90th$15Professionalmedian $13 · 10th–90th $13–$160%20%40%90th$13$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $46.77 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $3.47 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $18.20 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.98 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $15.14 / $46.77
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $19.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.05
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $17.78