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Colorado rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $186.04 / $512.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $102.90 / $117.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.80 / $108.00 / $192.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.61 / $56.61 / $72.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.59 / $63.60 / $99.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $66.00 / $98.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00