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Alaska rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.87 / $43.55 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $8.19 / $13.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.66 / $19.66 / $19.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $23.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $17.64 / $27.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.54 / $19.66 / $41.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $8.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $11.09 / $14.91