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Utah rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Facilitymedian $66 · 10th–90th $66–$1000%50%90th$66Professionalmedian $58 · 10th–90th $56–$660%50%10th90th$58$50.0$100.0$200.0

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
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $87.10 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $208.93 / $208.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $54.95 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54