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Washington rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $26 · 10th–90th $14–$2240%10%20%10th90th$26Professionalmedian $13 · 10th–90th $2–$280%20%40%10th90th$13$2.0$10.0$50.0$200.0

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 / $25.70 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $12.88 / $27.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $18.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $22.91 / $31.62
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $28.84 / $28.84
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.95 / $19.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $17.78
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.50