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Louisiana rates for HCPCS J3250

Trimethobenzamide Hcl Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.88 / $57.51 / $118.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.60 / $57.51 / $69.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $55.04 / $82.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.29 / $55.04 / $56.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.76 / $57.51 / $63.40