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Idaho rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.82 / $175.82 / $202.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $199.34 / $226.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.96 / $181.22 / $181.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.34 / $226.53 / $323.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $226.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.46 / $266.37 / $455.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.47 / $217.47 / $226.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $285.36