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Utah 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)

Facilitymedian $36 · 10th–90th $25$2000%20%10th90th$36Professionalmedian $36 · 10th–90th $35$490%20%40%10th90th$36$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $36.31 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $36.31 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $89.13 / $89.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $48.98 / $48.98