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Minnesota rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $83.18 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $7.08 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.98 / $0.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.41 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.62 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.48 / $0.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.55 / $1.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $7.24 / $21.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.81