go back

Alaska rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $9 · 10th–90th $9–$930%50%90th$9Professionalmedian $11 · 10th–90th $11–$460%20%40%90th$11$10.0$20.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $74.13 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $30.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $30.20
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $58.88 / $93.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $30.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.30 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.98 / $194.98