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Dicyclomine Injection

Oregon rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $9$1380%10%10th90th$17Professionalmedian $10 · 10th–90th $9$210%20%40%10th90th$10$2.0$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
$18.62
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.55
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$20.89
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$26.92
Typical High
$38.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$10.00
Typical High
$11.75
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.23
Typical High
$19.95
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$12.59
Typical High
$28.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$20.89
Typical High
$43.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.48
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22