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Pegaptanib Injection

Nationwide rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Rates data updated October 2026.

How much does Pegaptanib Injection cost?

$891per 0.3 mg

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $891 for each 0.3 mg of this drug. The price depends on where it is billed: about $891 from a physician practice, and about $1,122 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 0.3 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$891
At a hospital outpatient department
$1,122

The same drug, in the same amount, costs 26% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 27 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$891$871 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,122$741 to $2,042

How much rates vary

Facilitymedian $1,122 · 10th to 90th $724 to $3,162Professionalmedian $891 · 10th to 90th $794 to $1,288
$1K$2K$5Kfacility $1,122professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$812.83
AvMed
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$2,630.27
Typical High
$5,128.61
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$1,122.02
Typical High
$1,202.26
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$3,090.30
Typical High
$3,311.31
CDPHP
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
CareSource
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,445.44
Typical High
$1,584.89
CareSource
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$977.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,137.96
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,071.52
Geisinger
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Health Partners
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,995.26
Typical High
$3,019.95
Health Partners
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$5,888.44
Typical High
$9,120.11
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$1,258.93
Typical High
$2,754.23
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Medcost
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$1,096.48
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,202.26
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,479.11
Network Health
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$1,949.84
Typical High
$2,398.83
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,290.87
Sutter Health Plus
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,548.82
Univera
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,096.48
Univera
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,096.48
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,230.27

What it costs in each state

The same service costs 4.1 times more in Colorado than in Washington. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Touch or drag across the chart to see any state's rate.

CO $2,754WA $676

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.