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New Mexico rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.25 / $83.25 / $83.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $74.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $85.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.51 / $57.51 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $73.91 / $107.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $53.85 / $72.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $64.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51