Baclofen intrathecal trial injection

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION

Payers reporting HCPCS J0476

Payer pricing summary

Low

Average

$228

Median

$184

High

$1.3k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Wellmark fee schedule · outpatient · +9 other terms	16	$54	$54	—	—	2–20	$54 – $54
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	429	$98	$100	$61	61%	—	$1 – $671
3	Cigna fee schedule · outpatient · +19 other terms	338	$87	$153	$158	103%	—	$4 – $1.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	245	$95	$105	$81	77%	—	$0 – $484
5	Aetna fee schedule · outpatient · +20 other terms	232	$103	$144	$182	126%	—	$1 – $1.0k
6	Humana fee schedule · outpatient · +17 other terms	166	$58	$177	$176	99%	—	$1 – $532
7	Anthem fee schedule · outpatient · +17 other terms	74	$64	$103	$88	85%	—	$35 – $584
8	Caresource fee schedule · outpatient · +11 other terms	50	$54	$42	$18	43%	—	$1 – $114
9	Kaiser fee schedule · both · +13 other terms	48	$82	$82	$22	26%	—	$50 – $113
10	Molina fee schedule · outpatient · +18 other terms	38	$99	$72	$32	44%	—	$1 – $108
11	Highmark facility · fee schedule · outpatient · +11 other terms	37	$101	$310	$298	96%	—	$36 – $1.2k
12	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$143	$130	$43	33%	—	$53 – $225
13	MultiPlan fee schedule · inpatient · +15 other terms	30	$339	$326	$214	66%	—	$28 – $823
14	Baylor Scott White Health Plan facility · fee schedule · inpatient · +2 other terms	26	$31	$31	$1	2%	—	$30 – $32
15	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	25	$30	$32	$11	32%	—	$16 – $63
16	Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms	23	$236	$293	$192	66%	—	$57 – $792
17	Regence professional · fee schedule · outpatient · +11 other terms	21	$60	$59	$4	7%	—	$44 – $71
18	Tricare facility · fee schedule · outpatient · +11 other terms	21	$114	$193	$123	64%	—	$60 – $391
19	Healthpartners fee schedule · outpatient · +7 other terms	19	$49	$49	$2	5%	—	$48 – $61
20	Oscar facility · fee schedule · outpatient · +10 other terms	19	$68	$73	$9	13%	—	$60 – $83
21	Aetna Better Health fee schedule · outpatient · +12 other terms	18	$60	$57	$6	11%	—	$46 – $62
22	Amerihealth Caritas facility · fee schedule · outpatient · +7 other terms	18	$50	$56	$17	30%	—	$50 – $103
23	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	17	$277	$339	$176	52%	—	$154 – $826
24	First Health fee schedule · outpatient · +14 other terms	17	$299	$261	$154	59%	—	$20 – $706
25	Ambetter other · outpatient · +11 other terms	14	$1.7k	$1.7k	$418	25%	—	$1.0k – $2.1k

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