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Ohio rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $108.39 / $186.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $67.20 / $152.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.93 / $116.88 / $324.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $94.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $49.95 / $84.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $67.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $47.12 / $49.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $52.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $55.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.20 / $72.42 / $94.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $65.43