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Mississippi 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
$2.66 / $6.90 / $83.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.76 / $8.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $7.39 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $7.39 / $9.61