go back

New Jersey rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $94.75 / $163.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $50.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $77.26 / $90.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.82 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.61 / $69.73 / $69.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $61.21