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Oklahoma rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $17.67 / $77.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $8.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $4.51 / $7.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $6.97 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $7.39 / $7.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $3.11 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.74 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39