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Missouri 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
$31.86 / $49.72 / $86.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $35.52 / $44.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.33 / $56.48 / $97.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.48 / $56.48 / $75.30
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.52 / $62.13 / $282.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.45 / $37.00 / $42.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.45 / $37.00 / $42.81