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Baclofen for Intrathecal Trial Injection

North Carolina rates for HCPCS J0476 · Gablofen

Injection, baclofen, 50 mcg for intrathecal trial

Rates data updated October 2026.

How much does Baclofen for Intrathecal Trial Injection cost?

$54.95

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $61.66 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$43.65 to $61.66
FacilityA hospital or hospital-owned outpatient department$61.66$48.98 to $70.79

How much rates vary

Facilitymedian $62 · 10th to 90th $49 to $98Professionalmedian $55 · 10th to 90th $44 to $62
$50$100$200facility $62professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.39
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.12
Median
$12.30
Typical High
$12.30
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.76
Median
$9.12
Typical High
$9.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.47
Median
$6.17
Typical High
$6.17
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$245.47
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$54.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$66.07
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$43.65
Typical High
$43.65
Medcost
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$61.66
Medcost
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$70.79

Where North Carolina sits

The same service costs 2.0 times more in Alaska than in Wyoming. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 24th of 51

$54.95

AK $81.28WY $39.81

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.