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Dicyclomine Injection

Washington, DC rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $27 · 10th–90th $9$350%20%10th90th$27Professionalmedian $9 · 10th–90th $9$310%50%90th$9$10.0$20.0

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
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$26.92
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$18.20
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$19.50
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$12.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$16.98