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Missouri rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $32.36 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $36.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $21.88 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.14 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.88 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $13.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $26.92 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.98 / $20.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $23.99 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $12.88 / $17.78