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Arkansas rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.41 / $64.08 / $69.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $60.38 / $69.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.94 / $57.94 / $57.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.93 / $57.94 / $57.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.14 / $57.51 / $57.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $62.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.63 / $57.51 / $65.56