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Illinois rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.82 / $273.30 / $589.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.82 / $181.22 / $280.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.75 / $582.97 / $2,266.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.46 / $257.07 / $494.98
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.59 / $235.59 / $235.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.82 / $149.82 / $149.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $217.49