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Oregon 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
$16.93 / $18.80 / $54.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $16.93 / $29.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $17.42 / $35.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $16.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $36.39 / $42.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $21.88 / $38.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $16.21 / $19.13
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $19.13 / $45.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $21.88 / $36.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $15.51 / $17.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30