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Minnesota 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
$7.39 / $7.39 / $104.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $8.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.19 / $11.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.74 / $7.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $7.41 / $9.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.81 / $3.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $6.76 / $8.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $2.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $23.55 / $46.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $2.74 / $4.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $13.70