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Baclofen for Intrathecal Trial Injection

New Hampshire 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 physician fee. In New Hampshire, October 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $43.65 to $69.18.

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.

How much rates vary

Facilitymedian $81 · 10th to 90th $55 to $162Professionalmedian $55 · 10th to 90th $44 to $81
$50$100facility $81professional $55

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$69.18
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$54.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$87.10
Typical High
$117.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$66.07
Typical High
$128.82
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$72.44

Where New Hampshire 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.

New Hampshire· 19th 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.