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Wisconsin rates for HCPCS J3410

Injection, hydroxyzine HCl, up to 25 mg

Facilitymedian $19 · 10th–90th $13$720%10%20%10th90th$19Professionalmedian $15 · 10th–90th $13$280%20%40%10th90th$15$0.5$2.0$10.0$50.0

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
$13.49 / $25.70 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $30.20 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.60 / $23.99
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $15.14 / $33.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $30.90 / $30.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $16.98 / $51.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $30.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $10.47 / $10.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $45.71
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $20.42 / $25.12
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 / $18.20