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New York 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
$13.34 / $18.62 / $33.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $15.30 / $20.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $15.30 / $15.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.43 / $8.43 / $8.85
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $8.43 / $8.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $14.43 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $21.65 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $38.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.87
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.05 / $13.05 / $31.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $14.43 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $15.30 / $15.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $27.58
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.87 / $15.87 / $15.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $15.30 / $15.87