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Dicyclomine Injection

New York rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $9$710%10%20%10th90th$15Professionalmedian $9 · 10th–90th $9$280%50%90th$9$1.0$10.0$100.0$1.0K$10.0K

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
$9.33
Median
$15.49
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$22.39
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$31.62
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$39.81
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$11.48
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$20.89
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$12.02
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.75
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$14.79
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$56.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$13.49
Univera
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.75
Typical High
$30.20