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Massachusetts 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 / $99.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $51.95 / $80.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $125.07 / $273.30
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $63.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.60 / $63.74 / $135.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $105.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $273.30
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $74.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $69.93