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Texas rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Facilitymedian $178 · 10th–90th $62$7240%5%10%10th90th$178Professionalmedian $58 · 10th–90th $58$930%50%90th$58$50.0$100.0$200.0$500.0$1.0K$2.0K

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 / $89.13 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $467.74 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $134.90 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $131.83 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $204.17
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $95.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $97.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $77.62 / $173.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $141.25 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $85.11