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Wisconsin rates for HCPCS J0475

Baclofen 10 Mg Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.09 / $351.64 / $6,767.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $186.66 / $449.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.53 / $335.26 / $404.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $230.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.11 / $248.11 / $289.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.22 / $424.32 / $606.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $277.29 / $315.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.99 / $175.82 / $399.19
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.15 / $362.44 / $362.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.99 / $175.82 / $387.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.82 / $175.82 / $362.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $85.00 / $174.80
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.99 / $175.82 / $399.19
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.15 / $362.44 / $362.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $270.95 / $537.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.00 / $874.00 / $874.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.19 / $254.43 / $268.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $271.83