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Nationwide rates for HCPCS J0500

Injection Dicyclomine Hcl Up To 20 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $51.03 / $230.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.68 / $14.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $17.04 / $35.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.36 / $11.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $11.36 / $11.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.36 / $11.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.36 / $15.17