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New York rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $6.95 / $43.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.53 / $3.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.68 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.62
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.55 / $3.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.60 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.75
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.48 / $0.50