go back

Baclofen for Intrathecal Trial Injection

New Hampshire rates for HCPCS J0476 · Gablofen

Injection, baclofen, 50 mcg for intrathecal trial

Rates data updated July 2026.

How much does Baclofen for Intrathecal Trial Injection cost?

$57.54

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $81.28 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$54.95 to $61.66
FacilityA hospital or hospital-owned outpatient department$81.28$54.95 to $115

How much rates vary

Facilitymedian $81 · 10th to 90th $55 to $200Professionalmedian $55 · 10th to 90th $55 to $100
$100$200facility $81professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where New Hampshire sits

The same service costs 2.3 times more in Delaware 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.

New Hampshire· 29th of 51

$57.54

DE $93.33WY $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.