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Delaware rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.58 / $154.19 / $908.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $226.30 / $226.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $22.64 / $448.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.71 / $98.81