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Idaho rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $53.40 / $61.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.40 / $59.23 / $71.88
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 / $57.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $57.51 / $82.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $60.96 / $71.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.60 / $50.04 / $97.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.01 / $69.01 / $71.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51