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Colorado rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $50.12 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $60.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $22.39 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $169.82 / $169.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22