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Maryland rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $4.09 / $37.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $7.39 / $7.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $9.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $15.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $8.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14