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North Dakota rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.51 / $57.51 / $96.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $64.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.39 / $62.70 / $63.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.22 / $62.70 / $63.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $57.51 / $64.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.79 / $55.54 / $103.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.04 / $53.40 / $309.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $62.46