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Connecticut rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.40 / $125.49 / $180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.40 / $62.40 / $62.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $101.60 / $207.38
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
$60.00 / $60.00 / $60.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.27 / $65.09 / $75.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $60.00 / $92.76