go back

Vermont rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $166.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.93 / $67.93 / $67.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.61 / $97.07 / $104.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.61 / $97.07 / $104.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $60.00 / $92.30