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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
$2.51 / $3.80 / $7.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $7.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.45 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $17.38