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Colorado rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $15.49 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $4.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $4.79 / $9.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.34 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $23.99 / $23.99
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.95 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45