go back

New Hampshire rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.82 / $196.92 / $351.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $181.22 / $181.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.00 / $326.20 / $822.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.82 / $181.22 / $181.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.96 / $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
$190.14 / $294.30 / $559.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.88 / $236.69 / $347.93