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Delaware rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $28.75 / $120.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $6.39 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $17.55 / $118.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $14.86 / $17.13