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New Hampshire rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $72 · 10th–90th $58–$1510%10%20%10th90th$72Professionalmedian $58 · 10th–90th $58–$660%50%90th$58$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 / $64.57 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $69.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $112.20 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $57.54 / $57.54
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $51.29 / $54.95