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Missouri rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $30 · 10th–90th $13$1200%10%10th90th$30Professionalmedian $15 · 10th–90th $13$360%20%40%10th90th$15$2.0$5.0$10.0$20.0$50.0$100.0

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 / $32.36 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $38.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $25.70 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $28.18 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $26.92 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.98 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $23.99 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.88 / $18.62