go back

Minnesota 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 / $33.86 / $242.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $15.30 / $33.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $13.65 / $24.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $16.07 / $16.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $40.25 / $49.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $18.26 / $22.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.18 / $36.72 / $46.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $18.07 / $24.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $31.98 / $76.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $16.93 / $30.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $27.74