go back

Dicyclomine Injection

North Dakota rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $9$720%20%10th90th$10Professionalmedian $9 · 10th–90th $8$110%20%10th90th$9$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
$9.33
Median
$16.98
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$11.22
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.23
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$12.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$51.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$18.62