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West Virginia rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Facilitymedian $44 · 10th–90th $13–$1450%10%10th90th$44Professionalmedian $11 · 10th–90th $11–$120%20%40%10th90th$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
$18.20 / $43.65 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $12.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $16.98 / $16.98
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $13.80 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $47.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $56.23 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $43.65