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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
$2.74 / $12.93 / $69.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $7.39 / $8.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $7.83 / $18.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $7.39 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $10.35 / $31.04
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
$9.61 / $9.61 / $9.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $14.86