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Washington rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.34 / $362.44 / $4,213.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $199.34 / $280.36
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.58 / $266.37 / $514.98
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.20 / $181.22 / $200.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.96 / $170.96 / $421.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $222.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.82 / $226.53 / $376.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.69 / $284.49 / $497.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.20 / $183.68 / $200.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.58 / $213.10 / $431.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22