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Wyoming rates for HCPCS J0475

Injection, baclofen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.82 / $175.82 / $175.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.82 / $175.82 / $181.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $70.50 / $70.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.96 / $170.96 / $170.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $256.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.22 / $181.22 / $181.22