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Washington, DC rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $177.83 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $57.54 / $58.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $151.36 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $57.54 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $93.33