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HCPCS J3410 (Hydroxyzine Hcl) Fee Schedule

Last Verified: January 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Injection, hydroxyzine HCl, up to 25 mg
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Common Place of Service

None

11 - Office

20 - Urgent Care Facility

Complexity LevelLow
Medicare Payment Limit
$15.297BuyandBill.com
WAC Price
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Related NDC Codes

00517-4201-01 - HYDROXYZINE HCL (SDV) 25 MG/1 ML

00517-4201-25 - HYDROXYZINE HCL (S.D.V.) 25 MG/ML

00517-5601-01 - HYDROXYZINE HCL (SDV) 50 MG/1 ML

00517-5601-25 - HYDROXYZINE HCL (S.D.V.) 50 MG/ML

00517-5602-01 - HYDROXYZINE HCL (SDV) 50 MG/1 ML


National average reimbursement for HCPCS J3410 by major payers:

bcbs

$13.09

uhc

$13.46

aetna

$14.12

cigna

$13.38

Preview provider-level rates for...
For billing codeHCPCS J3410
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS J3410

United
J3410$18.461558495275 - MICHELLE LAUGHLIN510103684 - CHRISTIANA CARE HEALTH SERVICES INCDEGeneral Acute Care Hospital (282N00000X)
United
J3410$18.541295181477 - SUTTER BAY HOSPITALS, ALTA BATES SUMMIT MEDICAL CENTER - SUMMIT CAMPUS940562680 - (CA) SUTTER BAY HOSPITALSCAGeneral Acute Care Hospital (282N00000X)
United
J3410$12.311871606764 - GLENS FALLS HOSPITAL INC141338413 - ALBANY MED HEALTH SYSTEMNYGeneral Acute Care Hospital (282N00000X)
United
J3410$12.311548202641 - BETH ISRAEL DEACONESS MEDICAL CENTER, INC.42103881 - BETH ISRAEL DEACONESS MEDICAL CENTER INCMAGeneral Acute Care Hospital (282N00000X)
United
J3410$16.121366433195 - CLEVELAND CLINIC MERCY HOSPITAL, MERCY MEDICAL CENTER341893439 - CLEVELAND CLINIC MERCY HOSPITALOHGeneral Acute Care Hospital (282N00000X)
United
J3410$13.031063743490 - EISENHOWER MEDICAL CENTER, EISENHOWER HEALTH956130458 - EISENHOWER MEDICAL CENTERCAGeneral Acute Care Hospital (282N00000X)
United
J3410$22.291902089816 - SOUTH CENTRAL REG MED CTR202818177MSGeneral Acute Care Hospital (282N00000X)
United
J3410$12.401497765630 - ST. CHARLES HOSPITAL CORP.111871039 - (NY) ST CHARLES HOSPITAL CORPNYGeneral Acute Care Hospital (282N00000X)
United
J3410$11.171386188837 - SAINT FRANCIS HOSPITAL MUSKOGEE INC, SAINT FRANCIS HOSPITAL MUSKOGEE814322087 - (OK) SAINT FRANCIS HOSPITAL MUSKOGEE INCOKGeneral Acute Care Hospital (282N00000X)
United
J3410$12.401063494177 - ST LUKES HOSPITAL OF KANSAS CITY, SAINT LUKE'S HOSPITAL OF KANSAS CITY440545297 - ST LUKES HOSPITAL OF KANSAS CITYMOGeneral Acute Care Hospital (282N00000X)
United
J3410$12.401164481529 - ST. CHARLES HOSPITAL111871039 - (NY) ST CHARLES HOSPITAL CORPNYGeneral Acute Care Hospital (282N00000X)
United
J3410$11.071194741181 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF PEDIATRICS, FPP113465690NYGeneral Acute Care Hospital (282N00000X)
United
J3410$12.311114063492 - BARNES JEWISH HOSPITAL237309937 - BARNES JEWISH HOSPITALMOGeneral Acute Care Hospital (282N00000X)
United
J3410$12.401437179710 - PEMISCOT COUNTY MEMORIAL HOSPITAL436004544 - (MO) PEMISCOT COUNTY MEMORIAL HOSPITALMOGeneral Acute Care Hospital (282N00000X)
United
J3410$0.831093763781 - JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY, JACKSON CO MEM HOSP730568956OKGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS J3410 vs. Other Drugs, Administered by Injection Codes

The HCPCS J3410 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS J3410 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
00517-4201-01-NDCModerateHYDROXYZINE HCL (SDV) 25 MG/1 ML
J3400-HCPCSLowInjection, triflupromazine HCl, up to 20 mg
J3410-HCPCSLowInjection, hydroxyzine HCl, up to 25 mg
J3411-HCPCSLowInjection, thiamine HCl, 100 mg

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3410. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J3410 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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