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Vermont rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.88 / $19.95