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Virginia rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $28 · 10th–90th $13$1290%10%10th90th$28Professionalmedian $13 · 10th–90th $13$260%50%90th$13$0.2$1.0$5.0$20.0$100.0

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
$12.88 / $29.51 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $25.70
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $26.30 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $28.84 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $36.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $1.58
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $12.88 / $32.36
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $18.20 / $34.67
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $18.20 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $29.51 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.88 / $22.39