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Connecticut 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
$17.75 / $54.95 / $158.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $37.74 / $37.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.25 / $65.64 / $135.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $37.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.74 / $37.74 / $37.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $37.74 / $37.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $72.25 / $72.25
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.81 / $11.51 / $15.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $37.00 / $176.91