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North Carolina 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
$13.10 / $42.15 / $123.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $13.11 / $20.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $17.35 / $21.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $6.49 / $16.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $36.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $18.21 / $38.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $23.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00