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Kansas rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $42.77 / $288.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.49 / $0.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.83 / $21.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.53
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.60 / $6.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.50 / $0.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.77