go back

Montana rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Facilitymedian $1,585 · 10th–90th $1,023–$1,6220%50%10th90th$1,585Professionalmedian $1,585 · 10th–90th $1,023–$1,6220%50%10th90th$1,585$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,584.89 / $1,621.81
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,584.89 / $1,621.81