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Rhode Island rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.91 / $186.91 / $186.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $60.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $53.40 / $61.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51