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Louisiana rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $45.71 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.98 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.60 / $1.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.66