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Massachusetts rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $4.98 / $19.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $7.39 / $7.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $8.22 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $14.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $9.43 / $20.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.78 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $15.67
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $3.67 / $13.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $14.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $14.86