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Minnesota rates for HCPCS J2503

Pegaptanib Sodium Injection

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.20 / $2,548.92 / $3,103.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.25 / $938.96 / $1,016.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.63 / $2,326.06 / $2,919.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.25 / $800.25 / $1,088.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.50 / $1,067.80 / $1,536.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.25 / $889.25 / $1,600.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.25 / $889.25 / $1,612.03