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Nebraska 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 / $78.14 / $98.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $59.61 / $164.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.05 / $58.74 / $58.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.79 / $58.14 / $58.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.00 / $63.00 / $63.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $54.00 / $67.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.58 / $67.48 / $282.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $65.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $66.61 / $122.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.63 / $87.09 / $140.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $37.00 / $49.00