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Kentucky rates for HCPCS J2503

Pegaptanib Sodium Injection

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.20 / $1,017.14 / $1,592.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.00 / $796.00 / $985.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.67 / $889.25 / $889.25