go back

Montana rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $58 · 10th–90th $6–$930%20%40%10th90th$58Professionalmedian $58 · 10th–90th $58–$720%50%90th$58$2.0$20.0$200.0$2.0K$20.0K$200.0K$2.0M

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
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $61.66
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $51.29 / $93.33
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $51.29 / $93.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $57.54 / $91.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $57.54 / $57.54