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Kansas 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
$17.27 / $50.05 / $129.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $16.52 / $21.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $16.86 / $17.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $23.70 / $26.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $16.93 / $27.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $26.01