| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $1,513.56 | $1,513.56 | $1,698.24 | |
United
| Professional | $891.25 | $891.25 | $1,698.24 | |
Wellcare
| Facility | $6,025.60 | $6,025.60 | $6,025.60 |
Injection, pegaptanib sodium, 0.3 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $1,513.56 | $1,513.56 | $1,698.24 | |
United
| Professional | $891.25 | $891.25 | $1,698.24 | |
Wellcare
| Facility | $6,025.60 | $6,025.60 | $6,025.60 |