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See a sample rate comparisonHCPCS J3410 (Hydroxyzine Hcl) Fee Schedule
Last Verified: September 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 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 |
| Medicaid Fee Schedule | View Medicaid rates for J3410 |
| Medicare Payment Limit | $15.297  |
| 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
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HCPCS J3410
5 of 25 sample ratesHigher to lower in this preview
South Central Reg Med Ctr
$22.29Published rateYork Hospital, York Hospital-Medical Education Fund
York Hospital
$13.17Published rateBaptist Health, Baptist Health Medical Center- Hot Spring County
Hot Spring County Medical Center
$12.40Published rateBarnes Jewish Hospital
$12.31Published rateJackson County Memorial Hospital Authority, Jackson Co Mem Hosp
$0.83Published rate
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See a sample payer proposalHCPCS 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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