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New Jersey 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
$8.97 / $23.87 / $81.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $14.70 / $16.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.76 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $17.57 / $17.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $18.75