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Utah rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.22 / $210.22 / $2,165.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.22 / $210.22 / $210.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.36 / $249.51 / $264.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.68 / $358.71 / $514.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.16 / $181.22 / $181.22