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Tennessee rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $69.42 / $113.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.40 / $57.51 / $64.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.04 / $55.42 / $63.98
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $224.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.22 / $309.22 / $309.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.63 / $57.51 / $57.51