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Rhode Island 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
$12.33 / $12.33 / $144.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $35.52 / $37.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.74 / $39.22 / $41.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.96 / $39.96 / $39.96
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $54.96