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Texas rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $65 · 10th–90th $15$3020%5%10%10th90th$65Professionalmedian $11 · 10th–90th $11$210%50%90th$11$1.0$5.0$20.0$100.0$500.0$2.0K

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
$14.13 / $64.57 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $72.44 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $25.70 / $154.88
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $24.55 / $63.10
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $57.54 / $331.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $23.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $14.79
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,311.31 / $3,311.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $16.22 / $75.86
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
$15.85 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $12.88