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Nebraska rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $65 · 10th–90th $54–$1150%20%10th90th$65Professionalmedian $58 · 10th–90th $58–$950%50%90th$58$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$57.54 / $81.28 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $64.57 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $63.10 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $58.88 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $66.07 / $104.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $53.70 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $60.26 / $66.07
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $60.26 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $57.54 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $63.10