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Florida rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $161.13 / $427.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $97.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.61 / $60.00 / $60.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.28 / $60.00 / $60.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $63.40 / $63.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $90.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $97.07