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New York rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $5.27 / $20.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $7.39 / $7.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $7.39 / $7.70
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.89
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $6.97 / $6.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $10.46 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $19.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.67
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.82 / $13.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $6.97 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.88 / $11.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $11.58
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $7.67 / $7.67
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $7.39 / $7.67