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Michigan rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Facilitymedian $120 · 10th–90th $62–$1910%10%10th90th$120Professionalmedian $60 · 10th–90th $52–$810%50%10th90th$60$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $120.23 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $61.66 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $131.83 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $54.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $107.15 / $190.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $61.66 / $93.33
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $58.88 / $63.10