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South Carolina rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $21 · 10th–90th $14$4900%10%20%10th90th$21Professionalmedian $13 · 10th–90th $13$200%50%90th$13$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $21.38 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $6.76 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $15.14 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $21.38 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $15.14 / $36.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $19.50