Price of Dihydroergotamine Injection at NYU Langone

Last Updated: 2024-07-01

NYU Langone

Hospital Rating:

Locations

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NYU Langone|Tisch Hospital

550 1st Ave., New York, NY 10016

About Dihydroergotamine Injection

Service Codes: LOCAL 5010003, HCPCS J1110

This injection is used to treat acute migraine attacks by constricting blood vessels in the brain, helping to relieve headache symptoms.

Pricing Overview

Cash Price ?

$164.65

Median Price ?

$251.31

Price Range ?

$86.66 - $632.62

Insurance Plan Prices

Insurance Provider Plan Type Price
EmblemHealth GHI HMO $346.64
EmblemHealth Healthcare Partners Essential Plan 3 $251.31
UnitedHealthcare Optum Health $86.66
EmblemHealth GHI composite $346.64
Aetna Allied ASA PPO $259.98
MultiPlan Screen Actors Guild $632.62
EmblemHealth Prime Bronze $251.31
MultiPlan Meritain Health $632.62
EmblemHealth Select Care HMO $251.31
EmblemHealth HIP VIP Medicare Affinity $251.31
MultiPlan Principal Financial Group $632.62
EmblemHealth Select Care Healthcare Partners $251.31
EmblemHealth HIP Optum Health $251.31
EmblemHealth HIP Montefiore $251.31
UnitedHealthcare Choice (NY Power Authority) $86.66
EmblemHealth HIP $251.31
EmblemHealth IUOE Local 14-14B $346.64
MultiPlan Paramount Insurance $632.62
Aetna Indemnity $259.98
Aetna Starmark ASA PPO $259.98
MetroPlus Essential Plan 3 $112.66
EmblemHealth HIP EPO $251.31
MultiPlan Guardian Life Insurance Co $632.62
EmblemHealth Essential Plan 1, 200-250 $251.31
EmblemHealth HIP VIP Medicare Healthcare Partners $251.31
EmblemHealth Select Care EPO $251.31
UnitedHealthcare Golden Rule Insurance $86.66
Aetna Signature Administrators PPO $259.98
Aetna Coresource ASA PPO $259.98
MultiPlan Diversified Admin Corp $632.62
MultiPlan Global Excel Management $632.62
EmblemHealth Select Care Platinum Small Group $251.31
EmblemHealth CMO Essential Plan 1 $251.31
MultiPlan US Life Insurance Co $632.62
UnitedHealthcare POMCO (UMR) $86.66
EmblemHealth HIP compre health $251.31
EmblemHealth Healthcare Partners Essential Plan 4 $251.31
UnitedHealthcare Independent $86.66
Cigna Premier Plus $277.31
Aetna POS $259.98
UnitedHealthcare PPO $86.66
EmblemHealth HIP Access I $251.31
MetroPlus SilverPlus $268.65
Cigna Indemnity $277.31
MultiPlan Healthnet of California $632.62
MultiPlan PHCS $632.62
Cigna LifeSOURCE $277.31
MultiPlan Teamsters Allied Benefits $632.62
UnitedHealthcare Student Resources $86.66
MultiPlan Humana Health Plan $632.62
MultiPlan QualCare Inc $632.62
UnitedHealthcare Core $86.66
MultiPlan Fiserv Health $632.62
EmblemHealth American Plan Administrators c/o H.D.A $346.64
Cigna Cigna Managed Care/POS $277.31
MagnaCare JIB Employees Security Fund $207.98
MultiPlan Nippon Life $632.62
EmblemHealth Select Care Basic Exchange $251.31
EmblemHealth American Plan Administrators $346.64
UnitedHealthcare Navigate $86.66
EmblemHealth Select Care Gold Exchange $251.31
Cigna MVP-Cigna Network $277.31
Aetna Open Access HMO $259.98
MultiPlan Global Health Management $632.62
UnitedHealthcare Charter $86.66
MetroPlus BronzePlus $268.65
EmblemHealth Healthcare Partners Essential Plan 1-2 $251.31
First Health PPO $632.62
Aetna Wellnet ASA PPO $259.98
EmblemHealth HIP HMO $251.31
Humana All Commercial Plans $632.62
UnitedHealthcare HMO $86.66
MagnaCare Independent Care Plus $207.98
EmblemHealth Select Care Catastrophic Exchangeu00a0 $251.31
Cigna Tufts Health Plan $277.31
EmblemHealth WLNY-TV $346.64
EmblemHealth GHI Medicare HMO $346.64
EmblemHealth Prime Silver $251.31
MagnaCare JIB Members $207.98
EmblemHealth HIP POS $251.31
EmblemHealth Healthcare Partners Essential Plan 1, 200-250 $251.31
EmblemHealth Healthcare Partners Essential Plan 3-4 $251.31
EmblemHealth HIP VIP Medicare Montefiore $251.31
GEHA All Plans $259.98
MultiPlan Mutual of Omaha $632.62
EmblemHealth Enhanced Care (Medicaid) $251.31
UnitedHealthcare Choice (North Shore - LIJ) $86.66
EmblemHealth Select Care Silver Exchange $251.31
Cigna Evernorth Behavioral Health $277.31
MagnaCare Direct Plus Preferred $207.98
EmblemHealth Essential Plan 3 $251.31
MetroPlus PlatinumPlus $268.65
MultiPlan PHCS Director Guild $632.62
Aetna PPO $259.98
Aetna Chesterfield Resources ASA PPO $259.98
EmblemHealth HIP VIP Medicare Reserve $251.31
EmblemHealth HIP VIP Medicare Bold $251.31
MetroPlus Essential Plan 1-2, 200-250 $164.65
MultiPlan AXA Global Insurance $632.62
MetroPlus GoldPlus $268.65
MultiPlan Capital District Physicians Health Plan $632.62
EmblemHealth VIP Prime HMO Medicare Advantage $251.31
UnitedHealthcare EPO $86.66
Cigna HMO $277.31
Aetna Nippon Life ASA PPO $259.98
EmblemHealth CMO Essential Plan 2 $251.31
EmblemHealth GHI EPO $346.64
Aetna Healthscope ASA PPO $259.98
EmblemHealth GHI Behavioral Management Program $346.64
EmblemHealth GHI Medicare Supplement $346.64
EmblemHealth GHI Medicare PPO $346.64
MetroPlus Essential Plan 2 $164.65
Aetna Global National Transplant $259.98
EmblemHealth HIP PPO $251.31
Health Net PPO $632.62
MultiPlan PHCS Savility $632.62
Maksin Group Consolidated Health Plan (Home-based only) $277.31
EmblemHealth Select Care Bronze Small Group $251.31
MetroPlus Medicaid Managed Care $112.66
EmblemHealth Essential Plan 2 $251.31
MagnaCare Direct Plus $207.98
EmblemHealth HIP compre health epo $251.31
Cigna PPO $277.31
MultiPlan PHP Healthcare (Champus) $632.62
EmblemHealth HIP Medicare Supplement $251.31
Aetna HMO $259.98
Aetna Open Access Elect Choice EPO $259.98
MetroPlus MedPlus $268.65
EmblemHealth HIP Access II $251.31
EmblemHealth CMO Essential Plan 3 $251.31
MetroPlus Essential Plan 4 $112.66
EmblemHealth Bridge $251.31
MagnaCare PPO $207.98
MultiPlan Administrative Concepts $632.62
MagnaCare Capital District Physicians Health Plan $207.98
UnitedHealthcare Choice $86.66
EmblemHealth Healthcare Partners Essential Plan 2 $251.31
Aetna Meritain Health $259.98
MetroPlus Essential Plan 1 $164.65
MagnaCare American Plan Administrators $207.98
EmblemHealth HIP SmartStart $251.31
Aetna Christian Brothers ASA PPO $259.98
MetroPlus Child Health Plus (CHP) $112.66
EmblemHealth Vytra HMO $251.31
MagnaCare National Health Plan $207.98
MetroPlus Essential Plan 3-4 $112.66
UnitedHealthcare - Oxford Optum Health $86.66
UnitedHealthcare POMCO (UMR) $632.62
EmblemHealth Select Care PPOu00a0 $251.31
MetroPlus Gold $173.32
UnitedHealthcare - Oxford Liberty $86.66
EmblemHealth GHI Comprehensive Benefits Plan (CBP) $346.64
MultiPlan PPO $632.62
EmblemHealth CMO Essential Plan 4 $251.31
EmblemHealth HIP Long Island College Hospital (LICH) $251.31
Cigna NALC PPO $277.31
MetroPlus GoldCare 2 $173.32
Cigna Open Access $277.31
MultiPlan Kaiser Permanente $632.62
Cigna Open Access PPO $277.31
EmblemHealth Select Care Bronze Exchange $251.31
EmblemHealth HIP Healthcare Partners HMO $251.31
EmblemHealth Prime Gold $251.31
UnitedHealthcare - Oxford Freedom $86.66
UnitedHealthcare POS $86.66
Cigna Great West HMO $277.31
EmblemHealth HIP Child Health Plus $251.31
EmblemHealth Enhanced Care (Medicaid) Montefiore $251.31
Cigna Wellfleet Student $277.31
EmblemHealth Enhanced Care (Medicaid) Healthcare Partners $251.31
MagnaCare Cement & Concrete Workers District Council $207.98
EmblemHealth Select Care Gold Small Group $251.31
Aetna Student Health $259.98
EmblemHealth Healthcare Partners Essential Plans $251.31
EmblemHealth Essential Plan 4 $251.31
EmblemHealth Select Care Platinum Exchange $251.31
EmblemHealth HIP Prime Basic $251.31
Cigna Great West PPO $277.31
Cigna Open Access HMO $277.31
EmblemHealth GHI PPO $346.64
EmblemHealth Select Care Silver Small Group $251.31
UnitedHealthcare - Oxford Metro $86.66
EmblemHealth Prime Platinum $251.31
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