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Georgia rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $107 · 10th–90th $11–$5250%5%10%10th90th$107Professionalmedian $11 · 10th–90th $9–$140%50%10th90th$11$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$11.75 / $114.82 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $46.77 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.55
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $17.38 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $19.50 / $53.70
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,344.23 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $25.12 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $46.77