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New York rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $118.43 / $233.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $131.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $60.00 / $91.56
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.93 / $54.93 / $57.68
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.93 / $54.93 / $54.93
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.61 / $84.92 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $65.09 / $99.22
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $62.27
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $62.27
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.61 / $56.61 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $60.00 / $81.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $100.83
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.27 / $62.27 / $62.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.63 / $60.00 / $62.27