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North Carolina rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $11.90 / $72.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $3.32 / $7.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $14.28 / $17.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.36 / $2.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $23.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $8.78 / $26.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $9.61
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00