go back

North Dakota rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $2,818.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $194.98 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $229.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $181.97 / $302.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $177.83 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $204.17