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Missouri rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.20 / $106.10 / $711.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $70.20 / $117.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $63.00 / $157.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $75.00
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.06 / $139.66 / $367.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.51 / $97.07 / $112.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $60.00 / $73.38