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Rhode Island rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $26.92 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.41 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41