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Connecticut rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $144.54 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $165.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $93.33 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $58.88 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $58.88 / $63.10