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Arizona rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $45 · 10th–90th $17–$1580%5%10%10th90th$45Professionalmedian $11 · 10th–90th $11–$460%20%40%10th90th$11$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$19.95 / $45.71 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.48 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $43.65 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $21.88 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $15.49 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $18.20 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $12.88