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Georgia rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $142.69 / $1,337.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.60 / $117.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $65.09 / $65.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $60.00 / $60.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $117.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.61 / $56.61 / $60.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $54.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $90.37