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Baclofen for Intrathecal Trial Injection

New Hampshire rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Rates data updated July 2026.

Facilitymedian $81 · 10th–90th $55$2000%20%10th90th$81Professionalmedian $55 · 10th–90th $55$1000%50%90th$55$100.0$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
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$91.20
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$83.18