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North Carolina rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.56 / $182.49 / $342.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.45 / $201.33 / $1,170.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.96 / $460.54 / $529.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.82 / $175.82 / $178.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.50 / $181.22 / $181.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.82 / $178.45 / $215.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.26 / $203.26 / $203.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.82 / $149.82 / $149.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $235.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.00 / $328.49 / $906.10