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New Hampshire rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Facilitymedian $76 · 10th–90th $59–$1450%10%20%10th90th$76Professionalmedian $59 · 10th–90th $55–$1000%50%10th90th$59$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $66.07 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $114.82 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $107.15 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $95.50 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $58.88 / $83.18