go back

Wyoming rates for HCPCS J3250

Injection, trimethobenzamide HCl, up to 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $53.40 / $53.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $63.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $72.75 / $72.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.25 / $54.25 / $54.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $70.53 / $81.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $57.51 / $57.51