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Maryland rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.43 / $9.83 / $74.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.48 / $0.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.49