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West Virginia rates for HCPCS J0476

Injection, baclofen, 50 mcg for intrathecal trial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $67.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $67.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $74.93 / $74.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $49.95 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $94.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $49.95 / $72.34