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New Hampshire 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
$15.30 / $16.93 / $48.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $16.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $22.95 / $62.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $16.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $15.30 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.77 / $25.47 / $47.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.58 / $2.42