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Massachusetts rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $16 · 10th–90th $9$560%10%20%10th90th$16Professionalmedian $11 · 10th–90th $9$460%20%40%10th90th$11$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$10.96 / $19.95 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $60.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $27.54 / $69.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.22 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.95 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $79.43
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $13.49 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $16.98
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $27.54 / $69.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.22 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $21.38 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.22 / $43.65