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South Carolina rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Facilitymedian $182 · 10th–90th $62–$2510%20%10th90th$182Professionalmedian $62 · 10th–90th $59–$950%50%10th90th$62$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $218.78 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $61.66 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $134.90 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $56.23 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $77.62 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $85.11 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $58.88 / $69.18