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Kentucky rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $49.95 / $84.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $67.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.54 / $58.90 / $58.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $49.95 / $49.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $54.13 / $79.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $52.45 / $76.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $49.95 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $60.07 / $94.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95