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South Carolina rates for HCPCS J0475

Baclofen 10 Mg Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.28 / $645.09 / $4,458.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.45 / $183.03 / $212.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.72 / $381.55 / $680.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.50 / $96.64 / $226.53
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.20 / $192.36 / $443.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.75 / $317.75 / $317.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.80 / $181.22 / $181.22