go back

Hawaii rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.54 / $25.54 / $25.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.54 / $25.54 / $25.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.12 / $3.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.86 / $10.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $7.39 / $11.09
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.54 / $5.52