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Minnesota rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $194.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $146.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $82.08 / $126.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $90.18 / $97.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.65 / $155.99 / $189.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.30 / $88.25 / $110.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.19 / $142.35 / $178.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.24 / $87.38 / $118.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.98 / $97.07 / $180.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.07 / $97.07 / $174.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $108.77