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Missouri rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Facilitymedian $115 · 10th–90th $55–$7080%10%20%10th90th$115Professionalmedian $58 · 10th–90th $55–$1120%20%40%10th90th$58$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $177.83 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $128.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $102.33 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $102.33 / $371.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $97.72 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $114.82 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $57.54 / $85.11