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Minnesota 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
$44.40 / $44.40 / $44.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $38.33 / $164.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $89.47 / $158.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.80 / $72.25 / $72.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.95 / $172.00 / $209.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.54 / $63.36 / $68.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $156.96 / $196.99
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $73.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.14 / $45.74 / $88.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $66.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $67.06