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Pegaptanib Injection

New York rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Rates data updated July 2026.

How much does Pegaptanib Injection cost?

$759per 0.3 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $759 for each 0.3 mg of this drug. The price depends on where it is billed: about $759 from a physician practice, and about $1,047 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.3 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$759
At a hospital outpatient department
$1,047

The same drug, in the same amount, costs 38% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$759$741 to $933
FacilityA hospital or hospital-owned outpatient department$1,047$813 to $1,047

How much rates vary

Facilitymedian $1,047 · 10th to 90th $741 to $53,703Professionalmedian $759 · 10th to 90th $257 to $1,660
$100.0$1.0K$10.0Kfacility $1,047professional $759

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$812.83
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$758.58
Typical High
$1,659.59
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,096.48

Where New York sits

The same service costs 8.1 times more in North Carolina than in Arkansas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $759 · 32nd of 34
NC $6,026AR $741

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.