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HCPCS J3410 (Hydroxyzine Hcl) Fee Schedule

Last Verified: December 2025

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$15.261639101751 - MASSACHUSETTS EYE AND EAR INFIRMARY42103591 - (MA) MASS GENERAL BRIGHAM INCORPORATEDMAGeneral 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$12.401780857227 - JAMAICA HOSPITAL MEDICAL CENTER113167120NYGeneral Acute Care Hospital (282N00000X)
United
J3410$13.141982620977 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF EMERGENCY MEDICINE, FPP113465690NYGeneral Acute Care Hospital (282N00000X)
United
J3410$13.051407230923 - SUZANNA GASSO135562308 - NEW YORK UNIVERSITYNYGeneral Acute Care Hospital (282N00000X)
United
J3410$12.311942292255 - TEXAS SPINE AND JOINT HOSPITAL, LLC, BAYLOR SCOTT & WHITE TX SPINE & JOINT HOS SUR CTR752951355 - (TX) TEXAS SPINE AND JOINT HOSPITALTXGeneral Acute Care Hospital (282N00000X)
United
J3410$12.401518178359 - CASPER MEDICAL CENTER LLC, MOUNTAIN VIEW REGIONAL HOSPITAL205067728 - (WY) CASPER MEDICAL CENTER LLCWYGeneral Acute Care Hospital (282N00000X)
United
J3410$12.401700036696 - ROANE COUNTY MEDICAL CENTER, ROANE MEDICAL CENTER680673354 - (TN) ROANE COUNTY MEDICAL CENTERTNGeneral Acute Care Hospital (282N00000X)
United
J3410$12.401336508183 - HOLLAND HOSPITAL, HOLLAND HOSPITAL - CFGH382800065 - (MI) HOLLAND COMMUNITY HOSPITALMIGeneral Acute Care Hospital (282N00000X)
United
J3410$17.311700144706 - QI RONG522239402MDGeneral Acute Care Hospital (282N00000X)
United
J3410$12.401689650921 - EASTLAND MEMORIAL HOSPITAL DISTRICT, EASTLAND MEMORIAL HOSPITAL752313255TXGeneral Acute Care Hospital (282N00000X)
United
J3410$12.311154346161 - ALTRU HEALTH SYSTEM450310462 - ALTRU HEALTH SYSTEMNDGeneral Acute Care Hospital (282N00000X)
United
J3410$12.401497765630 - ST. CHARLES HOSPITAL CORP.111871039 - (NY) ST CHARLES HOSPITAL CORPNYGeneral Acute Care Hospital (282N00000X)
United
J3410$12.401609822881 - COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC, FROEDTERT MENOMONEE FALLS HOSPITAL390987025 - (WI) COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INCWIGeneral Acute Care Hospital (282N00000X)
United
J3410$12.651255524526 - PINNACLE HEALTH251778644 - (PA) UPMC PINNACLE HOSPITALSPAGeneral 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
00517-4201-25-NDCModerateHYDROXYZINE HCL (S.D.V.) 25 MG/ML
00517-5601-01-NDCModerateHYDROXYZINE HCL (SDV) 50 MG/1 ML
J3410-HCPCSLowInjection, 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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