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New Mexico rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $33 · 10th–90th $5–$2750%10%20%10th90th$33Professionalmedian $11 · 10th–90th $11–$170%50%90th$11$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$5.37 / $33.11 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $17.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $15.14 / $19.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $12.88 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $12.88