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California rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.13 / $4,966.62 / $5,147.72
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.92 / $1,286.92 / $1,286.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.25 / $889.25 / $1,815.14