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Tennessee rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $98.78 / $146.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $81.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.56 / $39.56 / $39.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $49.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $273.30 / $273.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $58.75