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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 July 2026.

How much does Baclofen for Intrathecal Trial Injection cost?

$54.95

Typical negotiated rate. In South Dakota, 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 $54.95 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 7 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 $66.07
FacilityA hospital or hospital-owned outpatient department$54.95$54.95 to $54.95

How much rates vary

Facilitymedian $55 · 10th to 90th $33 to $110Professionalmedian $55 · 10th to 90th $55 to $69
$50$100facility $55professional $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
$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

Where South Dakota 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.

South Dakota· 39th 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.