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Virginia 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
$16.64 / $37.74 / $373.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $37.74 / $37.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $35.52 / $35.52
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.03 / $77.11 / $192.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.86 / $44.40 / $87.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.15 / $37.00 / $47.36
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $37.00 / $47.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $37.00 / $46.44