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Nebraska rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Facilitymedian $1,514 · 10th–90th $776$5,0120%10%20%10th90th$1,514Professionalmedian $891 · 10th–90th $794$1,0000%50%10th90th$891$1.0K$2.0K$5.0K

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $5,011.87 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,513.56 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25