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Louisiana rates for HCPCS J0475

Baclofen 10 Mg Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.82 / $184.61 / $388.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.58 / $181.22 / $212.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.28 / $212.25 / $288.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.28 / $192.28 / $196.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $647.03 / $647.03
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $378.58