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Wyoming rates for HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $2.81 / $9.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $2.74 / $7.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $23.82 / $23.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $6.97 / $6.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $10.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39