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South Dakota rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Facilitymedian $10 · 10th–90th $2–$430%10%10th90th$10Professionalmedian $2 · 10th–90th $2–$30%20%40%10th90th$2$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $31.62 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.45
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.45 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $4.68 / $40.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.75 / $7.41
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.45 / $2.82
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $7.41