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Kansas rates for HCPCS J3105

Injection Terbutaline Sulfate Up To 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $25.26 / $92.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.89 / $10.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $7.44 / $39.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $7.99 / $7.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $6.97 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $4.18 / $14.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.74 / $4.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $12.56