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Connecticut rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $9.77 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $1.12 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.65 / $1.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.47 / $0.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $15.49 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.41 / $1.78