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Florida rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $100 · 10th–90th $30–$2690%5%10th90th$100Professionalmedian $11 · 10th–90th $11–$220%50%90th$11$5.0$20.0$100.0$500.0$2.0K

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
$30.90 / $102.33 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $21.88
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $15.85
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.00 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $21.38 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $13.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22