| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $729.19 | $749.30 | $936.62 | |
United
| Professional | $889.25 | $889.25 | $924.82 |
Pegaptanib Sodium Injection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $729.19 | $749.30 | $936.62 | |
United
| Professional | $889.25 | $889.25 | $924.82 |