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Baclofen for Intrathecal Trial Injection

Virginia 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?

$57.54

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $89.13 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 8 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 $57.54
FacilityA hospital or hospital-owned outpatient department$89.13$57.54 to $123

How much rates vary

Facilitymedian $89 · 10th to 90th $55 to $151Professionalmedian $55 · 10th to 90th $55 to $91
$50$100facility $89professional $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
$54.95
Median
$114.82
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$91.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$69.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$58.88
Typical High
$89.13
Sentara
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$79.43
Sentara
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$58.88
Typical High
$69.18

Where Virginia 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.

Virginia· 31st of 51

$57.54

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.