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Dicyclomine Injection

Maine rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $23 · 10th–90th $22$740%20%10th90th$23Professionalmedian $10 · 10th–90th $9$110%50%10th90th$10$2.0$10.0$50.0$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
$21.88
Median
$23.44
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.77
Typical High
$11.22
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$11.22
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$23.44
Typical High
$524.81
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.77
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.22
Typical High
$63.10