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Missouri rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $45.19 / $67.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.19 / $51.45 / $81.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.45 / $54.45 / $131.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $62.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $47.12 / $49.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.21 / $75.00 / $273.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.47 / $67.20 / $67.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.46 / $49.95 / $57.79