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Minnesota rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $25 · 10th–90th $17–$500%20%10th90th$25Professionalmedian $13 · 10th–90th $10–$180%50%10th90th$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 / $48.98 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $24.55 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.88 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $42.66 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.49 / $16.98
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $40.74 / $50.12
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $18.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $33.11 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $23.99