| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $741.04 | $741.04 | $741.04 | |
BCBS
| Professional | $741.04 | $741.04 | $741.04 | |
United
| Professional | $801.93 | $889.25 | $889.25 |
Pegaptanib Sodium Injection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $741.04 | $741.04 | $741.04 | |
BCBS
| Professional | $741.04 | $741.04 | $741.04 | |
United
| Professional | $801.93 | $889.25 | $889.25 |