go back

Idaho rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.07 / $111.63 / $598.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $75.01 / $117.46
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.88 / $75.01 / $107.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $75.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $72.00 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.24