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Dihydroergotamine Injection

Wisconsin rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Rates data updated July 2026.

Facilitymedian $83 · 10th–90th $56$2400%10%10th90th$83Professionalmedian $56 · 10th–90th $55$1480%20%40%10th90th$56$20.0$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
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$109.65
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$141.25
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$104.71
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$60.26
Typical High
$63.10
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$120.23
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$97.72
Typical High
$208.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$81.28
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$60.26
Typical High
$63.10
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$120.23
Typical High
$120.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$85.11
Typical High
$190.55
Quartz
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$165.96
Typical High
$371.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Security Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$79.43