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Kentucky rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $11 · 10th–90th $11–$1820%20%40%10th90th$11Professionalmedian $11 · 10th–90th $9–$130%50%10th90th$11$10.0$20.0$50.0$100.0$200.0$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
$11.22 / $52.48 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $14.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.96 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $18.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.02 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $47.86 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22