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North Carolina rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.63 / $77.95 / $116.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $61.49 / $96.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.47 / $185.31 / $224.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.98 / $45.98 / $67.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $49.95 / $49.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.52 / $59.44 / $61.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.40 / $74.40 / $74.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $64.94
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $117.40 / $273.30