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Connecticut 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
$0.73 / $8.53 / $73.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.80 / $1.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.52 / $0.60
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $15.60 / $37.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.48 / $1.69