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Arizona rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $9.50 / $42.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $7.89 / $8.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $7.39 / $33.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.66 / $47.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $4.32 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $2.74 / $2.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $10.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39