go back

Georgia rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $57.51 / $78.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.40 / $57.51 / $64.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.51 / $62.40 / $62.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.40 / $57.51 / $58.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.51 / $57.51 / $112.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.25 / $54.25 / $57.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $72.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $50.95 / $92.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $61.05 / $102.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $72.75