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Ohio rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.22 / $393.25 / $745.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $183.03 / $409.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.72 / $310.79 / $520.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $344.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.22 / $181.22 / $308.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $244.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.96 / $170.96 / $181.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.03 / $181.22 / $181.22
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.11 / $168.31 / $480.49
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.03 / $181.22 / $181.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.40 / $226.52 / $254.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.82 / $149.82 / $149.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.80 / $181.22 / $246.00