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South Carolina rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $42.66 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $22.91 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.95 / $3.72
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $3.55 / $38.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.45 / $2.51