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Iowa rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $30.52 / $233.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $1.10 / $4.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.59 / $0.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.48 / $6.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $1.00 / $23.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.50 / $1.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.64 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.61 / $1.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.49
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50