| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $785.50 | $1,567.13 | $4,966.62 | |
Medica
| Professional | $889.25 | $889.25 | $889.25 | |
United
| Professional | $889.25 | $889.25 | $889.25 |
Injection, pegaptanib sodium, 0.3 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $785.50 | $1,567.13 | $4,966.62 | |
Medica
| Professional | $889.25 | $889.25 | $889.25 | |
United
| Professional | $889.25 | $889.25 | $889.25 |