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Nationwide rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $56.23 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $14.45 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $11.22 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.75 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $21.38 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $16.98