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Oregon rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $23 · 10th–90th $10–$2140%5%10%10th90th$23Professionalmedian $11 · 10th–90th $11–$200%20%40%10th90th$11$2.0$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 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $20.89 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $10.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $26.92 / $38.90
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $10.00 / $69.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.96 / $19.95
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $12.59 / $28.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $20.89 / $43.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.49 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $12.88