go back

Utah rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.57 / $25.80 / $111.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $8.57 / $25.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.83 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39