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Kansas rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.47 / $72.75 / $1,296.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $59.23 / $80.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.29 / $58.45 / $61.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.16 / $62.16 / $62.16
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $60.25 / $81.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.40 / $53.40 / $309.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $64.73