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Vermont rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $29.76 / $59.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.53 / $0.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.56 / $0.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.56 / $0.93
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.48 / $0.74