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Louisiana rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $63.10 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $54.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $57.54 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $58.88 / $66.07