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Virginia rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $188.00 / $577.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $63.00 / $63.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.45 / $73.34 / $110.68
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $72.00 / $100.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $93.33 / $103.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $46.00 / $46.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.00 / $72.59 / $96.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $72.59 / $96.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.03 / $60.00 / $75.30