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Oklahoma rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $98 · 10th–90th $13$3090%10%20%10th90th$98Professionalmedian $11 · 10th–90th $11$130%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
$12.30 / $109.65 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $91.20 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $24.55 / $26.30
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
$11.75 / $21.88 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.75 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $12.88