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Pennsylvania rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Facilitymedian $9 · 10th–90th $3–$720%20%10th90th$9Professionalmedian $3 · 10th–90th $1–$50%20%10th90th$3$0.0$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
$3.47 / $8.71 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $2.63 / $4.68
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $234.42
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $0.44 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $1.51 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.76 / $0.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $2.29 / $13.49
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $234.42
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $5.75 / $2,187.76
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.12 / $1.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.66 / $0.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.66 / $0.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.76