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South Carolina rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $60 · 10th–90th $5–$2450%20%10th90th$60Professionalmedian $58 · 10th–90th $52–$660%50%10th90th$58$2.0$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
$60.26 / $91.20 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.26 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $69.18 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $81.28 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $58.88
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $4.47 / $4.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $57.54 / $81.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $57.54 / $57.54