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Maine rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.46 / $420.43 / $453.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $188.47 / $212.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.37 / $220.13 / $574.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $219.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.43 / $420.43 / $453.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $201.33 / $367.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $271.83