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Arkansas rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $190.55 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $181.97 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $245.47