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Alaska rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $77.56 / $198.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.53 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $2.66 / $22.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.84 / $1.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.20 / $1.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.72 / $0.97