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Rhode Island rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.77 / $24.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $2.74 / $20.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $31.71