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Iowa rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $22 · 10th–90th $11–$2630%20%40%10th90th$22Professionalmedian $12 · 10th–90th $11–$630%50%10th90th$12$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
$16.98 / $44.67 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $14.45 / $14.45
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $28.18 / $117.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $28.84 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $63.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $28.84
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $9,120.11 / $12,882.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $12.88
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.48