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Indiana 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
$35.52 / $57.98 / $543.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $35.52 / $35.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.55 / $74.00 / $111.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $51.89 / $71.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.72 / $47.72 / $57.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.53 / $47.72 / $59.65
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 / $176.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $49.42