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Dicyclomine Injection

Minnesota rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $29 · 10th–90th $13$440%10%20%10th90th$29Professionalmedian $11 · 10th–90th $9$130%20%40%10th90th$11$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
$9.33
Median
$69.18
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.55
Typical High
$11.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$22.91
Typical High
$29.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.22
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$32.36
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$13.49
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$29.51
Typical High
$43.65
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$12.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$19.95
Typical High
$63.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$26.30