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North Dakota rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $77.62 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $7.08 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.44 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $5.50 / $14.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.50 / $0.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.41 / $0.46