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Kansas rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.21 / $253.71 / $820.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $184.85 / $253.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.25 / $234.41 / $444.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.96 / $191.96 / $191.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.96 / $170.96 / $181.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.01 / $179.34 / $267.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.80 / $175.82 / $194.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.82 / $149.82 / $149.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.80 / $181.22 / $255.87