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West Virginia rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.93 / $26.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.46 / $8.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $11.09 / $11.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $7.39 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $20.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.12 / $22.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $17.48