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Idaho 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
$15.68 / $37.74 / $586.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $37.74 / $38.18
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.32 / $38.18 / $54.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.04 / $75.72 / $75.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $14.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $51.80