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Minnesota rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $31.62 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $4.27 / $4.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.24 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $7.76 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.95 / $3.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $7.41 / $8.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $3.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $24.55 / $46.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $4.57