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Dicyclomine Injection

Nebraska rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $9$2450%10%10th90th$21Professionalmedian $11 · 10th–90th $9$690%20%40%10th90th$11$10.0$50.0$200.0$1.0K

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
$25.12
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$10.72
Typical High
$12.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.55
Typical High
$12.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$56.23
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.75
Typical High
$28.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.22
Typical High
$51.29