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Dicyclomine Injection

South Dakota rates for HCPCS J0500

Injection, dicyclomine HCl, up to 20 mg

Rates data updated July 2026.

Facilitymedian $69 · 10th–90th $9$3310%10%20%10th90th$69Professionalmedian $10 · 10th–90th $9$120%20%40%10th90th$10$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
$44.67
Median
$141.25
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$11.22
Avera
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$13.18
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$12.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$19.95
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.75
Typical High
$12.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$19.50
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33