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Trimethobenzamide Injection

Wisconsin rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Rates data updated July 2026.

Facilitymedian $60 · 10th–90th $54$1700%20%10th90th$60Professionalmedian $58 · 10th–90th $58$1070%50%90th$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
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$131.83
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$107.15
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$57.54
Typical High
$70.79
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$102.33
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$53.70
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$53.70
Network Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$89.13
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$57.54
Typical High
$70.79
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$114.82
Typical High
$114.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$173.78
Quartz
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$257.04
Quartz
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$107.15
Typical High
$309.03
Security Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$58.88
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$63.10