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Montana rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Facilitymedian $44 · 10th–90th $1–$1410%10%10th90th$44Professionalmedian $3 · 10th–90th $1–$60%20%10th90th$3$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $63.10 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $2.63 / $5.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.68 / $2.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.68 / $2.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $1.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.41