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Arizona rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $100 · 10th–90th $50$2880%10%10th90th$100Professionalmedian $58 · 10th–90th $54$760%50%10th90th$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
$69.18 / $107.15 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $190.55 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $63.10 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $95.50 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $56.23 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $83.18 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $57.54