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Texas 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
$15.45 / $28.19 / $267.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.45 / $23.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $1.70 / $3.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $11.44 / $11.44
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $8.66 / $113.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $15.30 / $15.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $16.93 / $22.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.70 / $15.30 / $27.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $15.30 / $21.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $15.30 / $22.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.31 / $12.31 / $20.66