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Idaho rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $16 · 10th–90th $9–$1350%10%10th90th$16Professionalmedian $11 · 10th–90th $11–$140%20%10th90th$11$10.0$20.0$50.0$100.0$200.0

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
$11.22 / $15.85 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $52.48 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $10.23 / $67.61
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.22 / $15.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.75
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $18.20