HCPCS J3410 (Hydroxyzine Hcl) Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Drugs Administered Other than Oral Method • Drugs, Administered by Injection |
| Common Place of Service | • None • 11 - Office • 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicare Payment Limit | |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| 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:

$13.09

$13.46

$14.12

$13.38
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS J3410 | ||||||
United | J3410 | $15.26 | 1639101751 - MASSACHUSETTS EYE AND EAR INFIRMARY | 42103591 - (MA) MASS GENERAL BRIGHAM INCORPORATED | MA | General Acute Care Hospital (282N00000X) |
United | J3410 | $12.31 | 1548202641 - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. | 42103881 - BETH ISRAEL DEACONESS MEDICAL CENTER INC | MA | General Acute Care Hospital (282N00000X) |
United | J3410 | $12.40 | 1780857227 - JAMAICA HOSPITAL MEDICAL CENTER | 113167120 | NY | General Acute Care Hospital (282N00000X) |
United | J3410 | $13.14 | 1982620977 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF EMERGENCY MEDICINE, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | J3410 | $13.05 | 1407230923 - SUZANNA GASSO | 135562308 - NEW YORK UNIVERSITY | NY | General Acute Care Hospital (282N00000X) |
United | J3410 | $12.31 | 1942292255 - TEXAS SPINE AND JOINT HOSPITAL, LLC, BAYLOR SCOTT & WHITE TX SPINE & JOINT HOS SUR CTR | 752951355 - (TX) TEXAS SPINE AND JOINT HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | J3410 | $12.40 | 1518178359 - CASPER MEDICAL CENTER LLC, MOUNTAIN VIEW REGIONAL HOSPITAL | 205067728 - (WY) CASPER MEDICAL CENTER LLC | WY | General Acute Care Hospital (282N00000X) |
United | J3410 | $12.40 | 1700036696 - ROANE COUNTY MEDICAL CENTER, ROANE MEDICAL CENTER | 680673354 - (TN) ROANE COUNTY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | J3410 | $12.40 | 1336508183 - HOLLAND HOSPITAL, HOLLAND HOSPITAL - CFGH | 382800065 - (MI) HOLLAND COMMUNITY HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | J3410 | $17.31 | 1700144706 - QI RONG | 522239402 | MD | General Acute Care Hospital (282N00000X) |
United | J3410 | $12.40 | 1689650921 - EASTLAND MEMORIAL HOSPITAL DISTRICT, EASTLAND MEMORIAL HOSPITAL | 752313255 | TX | General Acute Care Hospital (282N00000X) |
United | J3410 | $12.31 | 1154346161 - ALTRU HEALTH SYSTEM | 450310462 - ALTRU HEALTH SYSTEM | ND | General Acute Care Hospital (282N00000X) |
United | J3410 | $12.40 | 1497765630 - ST. CHARLES HOSPITAL CORP. | 111871039 - (NY) ST CHARLES HOSPITAL CORP | NY | General Acute Care Hospital (282N00000X) |
United | J3410 | $12.40 | 1609822881 - COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC, FROEDTERT MENOMONEE FALLS HOSPITAL | 390987025 - (WI) COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC | WI | General Acute Care Hospital (282N00000X) |
United | J3410 | $12.65 | 1255524526 - PINNACLE HEALTH | 251778644 - (PA) UPMC PINNACLE HOSPITALS | PA | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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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.
| Code | Complexity | Description |
|---|---|---|
| 00517-4201-01-NDC | Moderate | HYDROXYZINE HCL (SDV) 25 MG/1 ML |
| 00517-4201-25-NDC | Moderate | HYDROXYZINE HCL (S.D.V.) 25 MG/ML |
| 00517-5601-01-NDC | Moderate | HYDROXYZINE HCL (SDV) 50 MG/1 ML |
| J3410-HCPCS | Low | Injection, hydroxyzine HCl, up to 25 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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