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Kansas rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $53.37 / $295.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $50.95 / $69.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.77 / $74.48 / $102.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $54.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $47.12 / $49.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $68.55 / $94.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.82 / $67.20 / $67.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $69.12