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Missouri rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.25 / $808.25 / $808.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.33 / $1,803.13 / $4,966.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.86 / $889.25 / $898.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.86 / $889.25 / $898.14