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Baclofen for Intrathecal Trial Injection

Wisconsin rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Rates data updated July 2026.

Facilitymedian $78 · 10th–90th $55$1620%10%20%10th90th$78Professionalmedian $56 · 10th–90th $55$1200%20%40%10th90th$56$50.0$100.0$200.0

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
$56.23
Median
$109.65
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$144.54
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$109.65
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$109.65
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$100.00
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$67.61
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$109.65
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$100.00
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$162.18
Quartz
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$165.96
Typical High
$275.42
Quartz
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$74.13
Security Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$81.28