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Dicyclomine Injection

Rhode Island rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $12 · 10th–90th $11$380%20%40%10th90th$12Professionalmedian $10 · 10th–90th $10$110%50%90th$10$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$30.20
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$12.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22