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Kansas rates for HCPCS J2503

Pegaptanib Sodium Injection

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.05 / $1,032.33 / $1,803.13
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 / $907.04