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South Carolina rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $85.11 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $4.17 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $6.61 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.45 / $0.60
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.55 / $1.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.49