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South Dakota rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $58 · 10th–90th $54–$1100%50%10th90th$58Professionalmedian $58 · 10th–90th $58–$740%50%90th$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
$57.54 / $72.44 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $53.70 / $107.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $53.70 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $64.57 / $66.07
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $67.61
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54