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Arizona rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.50 / $1,567.13 / $4,966.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.25 / $889.25 / $889.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.25 / $889.25 / $889.25