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Missouri rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $26.30 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $5.62 / $11.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $47.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.71 / $1.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.48 / $0.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.41 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $4.07 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.50 / $0.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.66 / $0.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.41 / $0.51