go back

Indiana rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $416.87 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $269.15 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $346.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $269.15 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $229.09