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Virginia rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.28 / $369.22 / $1,472.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $190.28 / $201.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.22 / $382.37 / $616.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.92 / $276.42 / $417.15
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 / $181.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.04 / $217.46 / $255.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.21 / $181.22 / $304.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $207.00 / $207.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.75 / $172.16 / $231.96
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $172.16 / $231.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.78 / $181.22 / $227.43