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New Hampshire rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $5.48 / $12.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $7.39 / $7.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.83 / $11.09 / $30.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $7.39 / $7.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $7.39 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $12.30 / $22.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $5.05 / $7.20