go back

Kentucky rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $17.55 / $89.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.48 / $0.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.56 / $0.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.48 / $0.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.53 / $0.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.50 / $0.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.63 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48