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Missouri rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $43 · 10th–90th $11–$1820%10%10th90th$43Professionalmedian $11 · 10th–90th $9–$450%20%10th90th$11$5.0$20.0$100.0$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
$11.48 / $44.67 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $60.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.77 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $17.38 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $75.86 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $11.75 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $17.38 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.22 / $15.49