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New Hampshire rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $17 · 10th–90th $13–$490%20%10th90th$17Professionalmedian $13 · 10th–90th $13–$280%50%90th$13$2.0$5.0$10.0$20.0$50.0

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 / $14.45 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $31.62 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $26.30 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.88 / $30.20