go back

Minnesota rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $30 · 10th–90th $13–$550%20%10th90th$30Professionalmedian $11 · 10th–90th $10–$140%20%40%10th90th$11$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
$10.96 / $93.33 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $29.51 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.22 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $53.70 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.49 / $14.79
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $51.29
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $15.85
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $19.95 / $63.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $26.30