go back

Maryland 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
$11.65 / $24.02 / $42.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $37.74 / $44.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $11.52 / $11.52
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
$55.79 / $80.34 / $173.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $44.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.68 / $46.68 / $46.68