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Ohio 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
$15.77 / $44.40 / $110.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $36.85 / $96.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.50 / $86.58 / $240.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.89 / $57.87 / $78.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.15 / $47.15 / $77.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.15 / $47.15 / $47.15
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 / $61.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.85 / $18.84 / $32.06
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $37.74 / $65.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.67 / $30.31 / $35.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $51.47