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South Carolina rates for HCPCS J3250

Trimethobenzamide Hcl Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.08 / $60.38 / $320.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $57.51 / $60.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.27 / $63.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $71.88 / $80.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.25 / $54.25 / $57.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $41.20 / $77.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $65.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.08 / $57.55 / $65.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.88 / $57.51 / $58.67