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Massachusetts rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $79 · 10th–90th $58–$1740%20%10th90th$79Professionalmedian $58 · 10th–90th $54–$740%50%10th90th$58$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$57.54 / $95.50 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $75.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $27.54 / $257.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $120.23 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $77.62 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $27.54 / $257.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $83.18 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $60.26