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Washington rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Facilitymedian $5 · 10th–90th $3$290%10%10th90th$5Professionalmedian $2 · 10th–90th $2$40%50%90th$2$2.0$5.0$10.0$20.0$50.0

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
$2.69 / $5.13 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $8.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.89 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $7.41 / $15.49
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $19.95 / $19.95
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.17 / $4.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $3.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.45 / $2.45
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.89