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Tennessee rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.82 / $293.62 / $2,157.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $181.22 / $212.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.20 / $106.20 / $106.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.00 / $906.10 / $906.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.42 / $288.42 / $288.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $217.49