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Georgia 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
$6.46 / $51.43 / $119.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.50 / $0.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.52 / $0.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.48 / $0.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.94
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
$0.22 / $0.22 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.65