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Utah rates for HCPCS J3250

Trimethobenzamide Hcl Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $66.70 / $143.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $58.08 / $71.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.61 / $69.95 / $77.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.03 / $57.51 / $71.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.26 / $77.95 / $82.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51