| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $722.05 | $1,032.33 | $1,803.13 | |
Medica
| Professional | $889.25 | $889.25 | $889.25 | |
United
| Professional | $889.25 | $889.25 | $907.04 |
Pegaptanib Sodium Injection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $722.05 | $1,032.33 | $1,803.13 | |
Medica
| Professional | $889.25 | $889.25 | $889.25 | |
United
| Professional | $889.25 | $889.25 | $907.04 |