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California rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $15.22 / $84.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $7.39 / $7.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $7.84 / $10.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $3.74 / $7.74
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $13.05 / $15.35
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $20.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $6.97 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $8.86 / $16.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $7.39 / $10.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $15.98
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.35 / $5.35
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.91 / $8.13 / $12.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $15.23