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Ohio rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $8.68 / $66.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.61 / $4.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.12 / $3.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.80
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $0.64 / $0.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.50 / $0.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.50 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $3.60 / $12.92
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.62 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.52