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Dicyclomine Injection

Hawaii rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $195 · 10th–90th $79$4370%10%20%10th90th$195Professionalmedian $17 · 10th–90th $12$170%50%10th$17$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
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$194.98
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$17.78
HMSA
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.22
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$17.78