go back

Missouri rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $10.00 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $6.46 / $7.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $7.41 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.45 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $14.45 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.75 / $3.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.45 / $3.09