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Michigan rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $8.80 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $7.61 / $8.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $16.46 / $31.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $7.39 / $7.39
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $7.85 / $23.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $7.39 / $8.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $3.15 / $8.49
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 / $7.84