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Vermont rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $13 · 10th–90th $11–$130%50%10th$13Professionalmedian $11 · 10th–90th $11–$190%20%40%10th90th$11$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.88 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $70.79