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Washington, DC rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $7.76 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $7.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.27 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.45 / $2.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.45 / $3.98