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Massachusetts 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
$8.00 / $37.74 / $254.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $37.74 / $38.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.79 / $155.61 / $212.07
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $64.01 / $163.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.26 / $53.82 / $114.73
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $37.74 / $80.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $71.06 / $110.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.84 / $90.84 / $144.46
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $163.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $163.44