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Baclofen for Intrathecal Trial Injection

South Dakota rates for HCPCS J0476 · Gablofen

Injection, baclofen, 50 mcg for intrathecal trial

Rates data updated October 2026.

How much does Baclofen for Intrathecal Trial Injection cost?

$54.95

Typical negotiated rate. In South Dakota, October 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 $54.95 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$44.67 to $60.26
FacilityA hospital or hospital-owned outpatient department$54.95$54.95 to $115

How much rates vary

Facilitymedian $55 · 10th to 90th $44 to $115Professionalmedian $55 · 10th to 90th $45 to $74
$50$100facility $55professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$43.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$56.23
Medica
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$114.82
Typical High
$128.82
Medica
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$67.61
Typical High
$74.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$60.26
Wellmark
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Wellmark
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95

Where South Dakota sits

The same service costs 2.0 times more in Alaska 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.

South Dakota· 20th of 51

$54.95

AK $81.28WY $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.