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Iowa rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.75 / $72.75 / $117.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $96.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $57.51 / $63.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.31 / $53.64 / $78.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $55.00 / $77.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.40 / $53.40 / $309.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $60.05 / $76.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.81 / $60.05 / $76.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.70 / $75.09 / $102.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $63.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $53.40 / $53.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.19 / $53.40 / $53.40