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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
$0.50 / $17.82 / $95.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.49 / $0.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.46 / $17.46 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.00