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Missouri rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $72.75 / $97.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $58.66 / $72.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.09 / $62.69 / $151.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $71.89
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 / $72.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $64.08 / $93.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.57 / $53.40 / $309.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.77 / $57.51 / $66.14