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Dicyclomine Injection

Michigan rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $33 · 10th–90th $10$710%10%10th90th$33Professionalmedian $10 · 10th–90th $5$560%20%40%10th90th$10$5.0$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
$9.55
Median
$35.48
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.55
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$20.89
Typical High
$41.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.01
Typical High
$5.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$60.26
Typical High
$60.26
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$26.92
Typical High
$47.86
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.02
Typical High
$21.38
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$12.59