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South Dakota rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Facilitymedian $107 · 10th–90th $0–$4370%10%10th90th$107Professionalmedian $1 · 10th–90th $0–$70%20%10th90th$1$0.2$1.0$5.0$20.0$100.0$500.0

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
$69.18 / $162.18 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $7.08 / $7.08
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.51 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $0.85 / $38.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.50 / $0.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $0.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.41 / $0.49
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.48