go back

New Hampshire 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
$14.98 / $37.74 / $46.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $37.74 / $37.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.23 / $55.50 / $152.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.74 / $37.74
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.22 / $62.84 / $116.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $37.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.05 / $35.09 / $63.02