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Oregon 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
$0.96 / $34.86 / $101.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.61 / $3.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.69 / $0.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $1.43 / $1.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.66 / $1.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.51 / $0.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.60 / $1.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.69 / $1.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.53 / $0.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.49