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Kansas rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $66 · 10th–90th $55–$2510%20%10th90th$66Professionalmedian $58 · 10th–90th $54–$720%50%10th90th$58$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
$58.88 / $69.18 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $64.57 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $93.33 / $208.93
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
$30.20 / $60.26 / $83.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $53.70 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $57.54