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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
$58.88 / $85.11 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $117.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $134.90 / $181.97
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $58.88 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $93.33 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $100.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $134.90 / $181.97
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $58.88 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $89.13 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $58.88 / $83.18