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North Carolina 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
$9.81 / $28.28 / $124.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $99.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.58 / $152.58 / $152.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.85 / $38.85 / $71.54
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 / $44.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.50 / $27.03 / $48.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.55 / $43.55 / $43.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $57.35
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.84 / $100.00 / $144.46