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Baclofen for Intrathecal Trial Injection

New York 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?

$54.95

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $72.44 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 9 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 $58.88
FacilityA hospital or hospital-owned outpatient department$72.44$54.95 to $91.20

How much rates vary

Facilitymedian $72 · 10th to 90th $55 to $120Professionalmedian $55 · 10th to 90th $55 to $87
$50$100$200facility $72professional $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
$75.86
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$75.86
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$229.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$194.98
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$58.88
Typical High
$58.88
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$52.48
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$51.29
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$93.33
Univera
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$60.26
Univera
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$51.29
Typical High
$79.43

Where New York 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 York· 47th of 51

$54.95

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.