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New Jersey rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $132.29 / $227.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.80 / $67.09 / $86.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.75 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $100.74 / $100.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $100.83