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Kansas rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $40.74 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $22.39 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.88 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $23.44 / $26.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $21.88