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West Virginia rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $8.94 / $55.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.48 / $0.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.50 / $0.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.48 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $5.07 / $13.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.84