go back

North Carolina rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $61.84 / $78.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $57.51 / $64.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.02 / $32.42 / $108.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.72 / $53.40 / $88.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.25 / $57.51 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $72.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $43.04 / $78.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $13.00 / $74.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.09 / $94.56 / $110.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $69.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.48 / $224.97 / $224.97
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.22 / $309.22 / $309.22