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Michigan rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $36 · 10th–90th $12–$790%10%10th90th$36Professionalmedian $11 · 10th–90th $11–$600%20%10th90th$11$5.0$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
$11.75 / $38.90 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $25.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.03 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $60.26 / $60.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $37.15 / $89.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $22.39
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $12.88