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Arkansas rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.92 / $72.00 / $116.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $72.00 / $116.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.32 / $105.32 / $105.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.98 / $105.32 / $105.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.61 / $60.00 / $60.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.71