| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.28 | $0.28 | $0.30 | |
BCBS
| Professional | $0.30 | $0.35 | $0.35 | |
Cigna
| Professional | $0.84 | $1.03 | $1.19 | |
United
| Professional | $0.84 | $0.84 | $0.84 |
Trimethobenzamide HCl, 250 mg, oral, FDA-approved prescription antiemetic, for use as a complete therapeutic substitute for an IV antiemetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.28 | $0.28 | $0.30 | |
BCBS
| Professional | $0.30 | $0.35 | $0.35 | |
Cigna
| Professional | $0.84 | $1.03 | $1.19 | |
United
| Professional | $0.84 | $0.84 | $0.84 |