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Oregon rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $59 · 10th–90th $7–$1150%20%10th90th$59Professionalmedian $58 · 10th–90th $56–$740%50%10th90th$58$2.0$20.0$200.0$2.0K$20.0K$200.0K$2.0M

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 / $83.18 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $75.86 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $64.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $123.03 / $147.91
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $57.54 / $83.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $58.88 / $79.43
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $120.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $57.54 / $95.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $57.54 / $57.54