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Florida 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) (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.28 / $207.94 / $466.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $36.85 / $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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.74 / $52.25 / $54.34
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $72.25 / $72.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $59.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $49.00 / $229.03