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Utah rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Facilitymedian $51 · 10th–90th $32–$1000%10%10th90th$51Professionalmedian $5 · 10th–90th $0–$140%20%10th90th$5$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$31.62 / $51.29 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $11.48 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.62 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.45
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.43 / $0.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.41