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Connecticut rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.81 / $29.48 / $68.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.81 / $11.81 / $11.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.20 / $20.14 / $88.02
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
$11.36 / $11.36 / $11.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.36 / $11.36
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.79 / $12.32 / $14.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $11.36 / $50.48