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New Jersey rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $31 · 10th–90th $14$1230%10%10th90th$31Professionalmedian $11 · 10th–90th $11$170%50%90th$11$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$14.45 / $28.84 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $16.98
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.88 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $13.18 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $44.67
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $11,481.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.49 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $51.29 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $13.18