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Idaho rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $199.53 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $269.15 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $218.78 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $199.53 / $229.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $269.15 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $229.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $288.40