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Missouri rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $20.84 / $80.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $7.54 / $23.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $8.06 / $19.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $9.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $6.97 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $14.57 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.74 / $3.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $7.39 / $9.03