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New Jersey 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
$25.43 / $53.21 / $150.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.64 / $36.85 / $37.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.50 / $33.00 / $52.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $37.74 / $37.74
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $72.25 / $75.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $45.34