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New York rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Insurance Carrier
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.04 / $741.04 / $815.14
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.04 / $741.04 / $741.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.64 / $1,265.64 / $1,265.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.25 / $889.25 / $1,200.34
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.66 / $1,088.66 / $1,088.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.44 / $1,055.44 / $1,088.66