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Virginia rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Facilitymedian $60 · 10th–90th $8–$1320%20%10th90th$60Professionalmedian $58 · 10th–90th $56–$710%50%10th90th$58$1.0$5.0$20.0$100.0

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
$9.12 / $74.13 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $95.50
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $107.15 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $57.54 / $70.79
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $4.79 / $4.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $57.54 / $89.13
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $57.54 / $57.54
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $69.18 / $85.11
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $69.18 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $83.18 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $60.26