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Alaska rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $58 · 10th–90th $6–$1070%20%10th90th$58Professionalmedian $58 · 10th–90th $58–$690%50%90th$58$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$57.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $57.54 / $95.50
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $128.82
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $102.33 / $158.49
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $87.10 / $87.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $57.54 / $104.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $117.49