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Michigan rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $30 · 10th–90th $14–$620%10%10th90th$30Professionalmedian $13 · 10th–90th $9–$170%50%10th90th$13$0.5$2.0$10.0$50.0

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
$13.49 / $31.62 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $17.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $28.84 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.71 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $15.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $35.48 / $46.77
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.49 / $19.95
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $17.78