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North Dakota 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
$4.93 / $7.39 / $13.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $7.39 / $8.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $8.06 / $8.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $8.05 / $8.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.44 / $1.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $11.09 / $33.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.74 / $2.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $7.39 / $8.27