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South Carolina rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $132 · 10th–90th $16–$5010%10%10th90th$132Professionalmedian $14 · 10th–90th $11–$260%20%10th90th$14$2.0$10.0$50.0$200.0

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
$18.20 / $131.83 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $27.54 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $23.99 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $22.91 / $46.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $15.49