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Illinois rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $50 · 10th–90th $13$1740%5%10th90th$50Professionalmedian $11 · 10th–90th $11$340%50%90th$11$5.0$20.0$100.0$500.0

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
$12.02 / $50.12 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $79.43 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $17.38 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $22.39 / $123.03
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $12.88