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Ohio 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 / $34.88 / $95.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.76 / $38.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.95 / $35.79 / $99.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $25.79
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $20.50 / $20.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $15.30 / $26.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $20.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $14.43 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $43.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.46 / $14.43 / $15.30
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $43.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $21.42 / $24.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $20.04