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Kentucky rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.36 / $52.08 / $377.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.36 / $11.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $13.40 / $13.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.65 / $11.36 / $11.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.36 / $12.50 / $18.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.93 / $17.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.36 / $11.36 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $38.36 / $53.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.36 / $11.36