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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
$23.16 / $49.98 / $182.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.36 / $14.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.54 / $20.45 / $36.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.36 / $11.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $31.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.36 / $11.36
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $18.85 / $31.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $12.49 / $18.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.36 / $11.36