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Arizona rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Facilitymedian $138 · 10th–90th $74$3980%10%10th90th$138Professionalmedian $58 · 10th–90th $58$980%50%90th$58$50.0$100.0$200.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $109.65 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $245.47 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $109.65 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $91.20 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $131.83 / $204.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $141.25 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $85.11