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Washington, DC rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $7.11 / $11.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.78 / $1.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.48 / $0.79