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Florida rates for HCPCS J0476

Injection Baclofen 50 Mcg For Intrathecal Trial (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $92.41 / $165.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $67.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $49.95 / $49.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $49.95 / $73.70
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $52.78 / $52.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $54.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $67.20 / $67.20