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Virginia rates for HCPCS J3475

Injection Magnesium Sulfate Per 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.48 / $45.76 / $95.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.51 / $0.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.78 / $1.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.57 / $1.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.48 / $1.53
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.48 / $0.61
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.48 / $0.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.60