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Hawaii rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $218.78 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $208.93 / $269.15