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Colorado rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $133.72 / $170.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $71.23 / $81.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.94 / $89.91 / $159.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $47.12 / $70.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $82.85 / $105.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $54.95 / $81.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95