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North Dakota 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 / $174.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $117.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.09 / $65.43 / $66.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.34 / $65.33 / $65.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.38 / $87.38 / $109.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.52 / $85.89 / $165.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.75 / $97.07 / $105.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $60.00 / $65.16