go back

Washington, DC rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $273.74 / $368.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.01 / $73.34 / $124.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.61 / $56.61 / $60.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $60.00 / $97.25