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Oregon rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.94 / $1,992.87 / $2,388.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.30 / $926.30 / $1,482.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.30 / $926.30 / $926.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.25 / $889.25 / $889.25