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Oklahoma rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.82 / $189.88 / $322.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.71 / $195.72 / $201.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.96 / $170.96 / $181.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $205.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.51 / $189.88 / $271.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.80 / $175.82 / $181.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.80 / $181.22 / $181.22