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Indiana rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Facilitymedian $45 · 10th–90th $1–$1070%10%10th90th$45Professionalmedian $1 · 10th–90th $0–$80%20%10th90th$1$0.0$0.2$2.0$20.0$200.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $63.10 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $3.39 / $15.85
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.65 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $1.17 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.81