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Virginia rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $10.00 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $4.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.27 / $6.46
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.45 / $17.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $20.89 / $33.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $3.02 / $22.39
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.02 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.45 / $3.09