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Idaho rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $50.60 / $101.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.60 / $3.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.48 / $0.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.64 / $20.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.54