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Hawaii rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Insurance Carrier
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.34 / $889.25 / $1,262.74
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.50 / $901.56 / $1,865.07