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Alaska rates for HCPCS J3030

Injection, sumatriptan succinate, 6 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $63.70 / $220.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $36.85 / $59.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $37.74 / $37.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.71 / $85.71 / $85.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.20 / $53.20 / $76.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.32 / $82.32 / $129.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.71 / $105.42 / $248.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $37.74 / $76.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $55.50 / $74.64