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Wisconsin rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Facilitymedian $79 · 10th–90th $6–$1350%10%10th90th$79Professionalmedian $2 · 10th–90th $0–$90%10%20%10th90th$2$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$6.92 / $83.18 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $4.27 / $10.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.54 / $0.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $1.17 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.52 / $0.76
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.95 / $0.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $14.13 / $30.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.50 / $0.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.72
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.47 / $1.10
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.41
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.58 / $0.71
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 / $0.56