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Illinois rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $23 · 10th–90th $13$980%10%20%10th90th$23Professionalmedian $13 · 10th–90th $13$230%50%90th$13$0.5$2.0$10.0$50.0$200.0

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 / $22.91 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $48.98 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $28.18 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $19.95 / $37.15
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $29.51 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $17.78