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California rates for HCPCS J3475

Injection Magnesium Sulfate Per 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $37.74 / $145.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $1.30 / $4.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.54 / $0.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.50 / $1.10
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.51 / $0.86
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.57 / $1.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.48 / $0.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.04
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.53 / $0.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.21