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Arizona rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $9.59 / $131.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $1.30 / $6.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $1.58 / $2.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.49 / $3.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $3.14 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.49