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Delaware rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $52.48 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $5.25 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $5.50 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.62 / $1.86