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Nebraska rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $11.00 / $79.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $7.39 / $7.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.28 / $7.95 / $8.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $7.95 / $8.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.78 / $7.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $19.39 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.74 / $4.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $2.57 / $4.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $3.29 / $7.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $7.39 / $8.13