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Dicyclomine Injection

New Hampshire rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

How much does Dicyclomine Injection cost?

$10.47per 20 mg

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $10.47 for each 20 mg of this drug. The price depends on where it is billed: about $9.33 from a physician practice, and about $17.78 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
$9.33
At a hospital outpatient department
$17.78

The same drug, in the same amount, costs 91% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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$9.33$9.33 to $11.22
FacilityA hospital or hospital-owned outpatient department$17.78$10.47 to $34.67

How much rates vary

Facilitymedian $18 · 10th to 90th $9 to $170Professionalmedian $9 · 10th to 90th $9 to $18
$10$20$50$100$200facility $18professional $9

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
$9.33
Median
$11.75
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$19.50
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$18.62
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.49
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$70.79

Where New Hampshire 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.

New Hampshire· 46th of 51

$10.47

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.