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Tennessee rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $60 · 10th–90th $11–$1740%5%10%10th90th$60Professionalmedian $11 · 10th–90th $11–$240%50%90th$11$10.0$20.0$50.0$100.0$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
$11.22 / $64.57 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.48 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $14.45 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $43.65