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South Carolina 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
$9.61 / $49.14 / $125.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $7.76 / $7.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $5.80 / $52.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.87 / $9.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $6.97 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $7.76 / $39.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39