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North Dakota rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $17 · 10th–90th $13–$1290%20%10th90th$17Professionalmedian $13 · 10th–90th $12–$170%20%40%10th90th$13$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 / $23.44 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $12.88 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.60 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $16.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $16.98 / $28.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $15.14