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Oregon 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
$3.01 / $6.07 / $79.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $7.39 / $7.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $3.03 / $6.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $8.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $5.96 / $7.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $10.57 / $34.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $7.83 / $9.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $7.39 / $22.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $6.72 / $26.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $6.33 / $11.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39