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Utah rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $47 · 10th–90th $15–$4680%10%20%10th90th$47Professionalmedian $14 · 10th–90th $13–$150%50%10th90th$14$10.0$20.0$50.0$100.0$200.0$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
$15.14 / $74.13 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $15.85 / $15.85
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $15.14 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88