go back

Oklahoma 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
$5.16 / $18.28 / $82.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.97 / $3.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $14.43 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $15.30 / $15.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $18.28 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $16.93 / $17.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $15.30 / $15.30