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Iowa rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.89 / $85.89 / $213.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.89 / $146.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.38 / $87.38 / $109.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $60.00 / $247.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.00 / $82.66 / $132.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.38 / $97.07 / $116.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.00 / $82.28 / $116.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $76.87 / $138.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $61.80
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.07 / $97.07 / $97.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.07 / $97.07 / $97.07