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Montana rates for HCPCS J0475

Baclofen 10 Mg Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $197.53 / $280.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.54 / $199.54 / $517.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $199.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.54 / $199.54 / $517.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $196.60 / $256.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22