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Nebraska rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $23 · 10th–90th $11–$3160%10%20%10th90th$23Professionalmedian $12 · 10th–90th $11–$690%20%10th90th$12$10.0$50.0$200.0$1.0K

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
$11.22 / $22.91 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.49 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $10.72 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.48 / $14.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $56.23 / $281.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.75 / $28.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $15.85 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.22 / $16.98