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Vermont rates for HCPCS J0475

Baclofen 10 Mg Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $201.33 / $302.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.16 / $205.16 / $205.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.96 / $197.89 / $329.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.96 / $197.89 / $329.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.16 / $181.22 / $278.77