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Louisiana 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
$43.80 / $44.40 / $82.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $44.40 / $44.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.87 / $64.16 / $121.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.75 / $80.75 / $82.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.47 / $67.47 / $67.47
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $77.29