go back

Baclofen for Intrathecal Trial Injection

South Dakota rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Rates data updated July 2026.

Facilitymedian $55 · 10th–90th $33$1100%50%10th90th$55Professionalmedian $55 · 10th–90th $55$690%50%90th$55$50.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$54.95
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$69.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$114.82
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$67.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$69.18
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95