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Pegaptanib Injection

California rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Rates data updated July 2026.

How much does Pegaptanib Injection cost?

$6,026per 0.3 mg

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $6,026 for each 0.3 mg of this drug. Most negotiated rates run $1,479 to $6,026.

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
$1,023

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $6,026 to $6,026Professionalmedian $1,023 · 10th to 90th $398 to $1,413
$500.0$1.0K$2.0K$5.0Kfacility $6,026professional $1,023

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,479.11

Where California sits

The same service costs 8.1 times more in North Carolina than in Arkansas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $6,026 · 4th of 34
NC $6,026AR $741

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.