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Massachusetts rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.13 / $1,803.13 / $5,147.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.86 / $889.25 / $1,244.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.13 / $1,803.13 / $5,147.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.86 / $889.25 / $1,244.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.86 / $889.25 / $1,102.03