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Dicyclomine Injection

Montana rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

How much does Dicyclomine Injection cost?

$26.30per 20 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $26.30 for each 20 mg of this drug. The price depends on where it is billed: about $11.22 from a physician practice, and about $61.66 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 20 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$11.22
At a hospital outpatient department
$61.66

The same drug, in the same amount, costs 450% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.22$10.23 to $31.62
FacilityA hospital or hospital-owned outpatient department$61.66$26.30 to $158

How much rates vary

Facilitymedian $62 · 10th to 90th $26 to $309Professionalmedian $11 · 10th to 90th $9 to $69
$10$100$1K$10K$100Kfacility $62professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$169.82
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.22
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$14.79
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.92
Typical High
$67.61
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.92
Typical High
$67.61
Providence
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$120.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.18
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22

Where Montana sits

The same service costs 15.1 times more in Delaware than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 15th of 51

$26.30

DE $141AL $9.33

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.