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Connecticut rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $5.62 / $8.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $6.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.89 / $7.76
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
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.24 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.45 / $16.22