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Nevada 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) (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.85 / $138.24 / $916.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $37.74 / $164.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.86 / $38.85 / $118.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.74 / $51.89
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
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $37.74 / $44.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $67.45