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Mississippi rates for HCPCS J3475

Injection Magnesium Sulfate Per 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $17.78 / $94.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.51 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.48 / $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
$0.46 / $0.48 / $0.74