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Michigan rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $105 · 10th–90th $59–$1860%10%10th90th$105Professionalmedian $58 · 10th–90th $51–$690%50%10th90th$58$1.0$5.0$20.0$100.0$500.0

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 / $104.71 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $128.82 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $58.88 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $57.54 / $57.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $102.33 / $186.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $58.88 / $77.62
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $60.26