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Georgia 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
$32.34 / $36.85 / $208.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $36.85 / $60.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.00 / $40.15 / $40.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $42.18 / $155.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.74 / $38.85 / $76.15
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $99.26 / $99.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $64.75