go back

Indiana rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.58 / $418.99 / $5,375.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $183.03 / $183.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.22 / $362.44 / $480.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.03 / $181.22 / $257.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.22 / $199.34 / $271.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.34 / $199.34 / $199.34
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 / $480.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $226.62