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Michigan 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
$13.17 / $35.52 / $110.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $35.52 / $38.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $10.93 / $20.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.09 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $37.74 / $56.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.70 / $51.94 / $110.82
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $51.94 / $62.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $44.40