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Massachusetts 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 / $23.91 / $65.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.91 / $20.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $3.31 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $31.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.42 / $19.52 / $41.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.21 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $32.44
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.49 / $30.27 / $52.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $31.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $31.18