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New York rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $16.60 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.91
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $12.30 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $64.57
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $18.62 / $51.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $27.54
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $16.22
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $23.99
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $18.20
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $15.14 / $18.20