go back

New York 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
$7.08 / $35.48 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $37.15 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $28.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $40.74
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $54.95 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $199.53
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $120.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $81.28
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $72.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $72.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $38.02 / $39.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $48.98 / $75.86
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $72.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $58.88 / $72.44