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Illinois rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $6.46 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $4.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $7.76 / $18.20
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $11.48 / $43.65
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.34 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.69