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Oregon rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $23.99 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $17.38 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $14.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $33.11 / $38.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $13.80 / $16.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $13.80 / $16.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $19.05 / $31.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $18.62 / $36.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.14 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $14.79