go back

Arkansas 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 / $37.74 / $447.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $37.74 / $37.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.00 / $49.00 / $49.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $49.00 / $49.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.74 / $37.74 / $68.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $37.74 / $37.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $163.44