go back

Washington rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Facilitymedian $23 · 10th–90th $4$1290%5%10%10th90th$23Professionalmedian $3 · 10th–90th $1$70%10%10th90th$3$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$3.80 / $25.70 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $3.47 / $6.92
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.52
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.48 / $0.78
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.50 / $0.52
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $1.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.43 / $0.56