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Tennessee rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $6.90 / $91.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $7.39 / $7.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $12.60 / $12.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $14.86