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Dicyclomine Injection

Massachusetts rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $12 · 10th–90th $9$290%20%10th90th$12Professionalmedian $9 · 10th–90th $9$200%50%90th$9$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$12.88
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$45.71
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$25.12
Typical High
$69.18
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.22
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.50
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$19.95
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$13.49
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$16.98
Health New England
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$25.12
Typical High
$69.18
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.22
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.22
Typical High
$43.65