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South Carolina rates for HCPCS J2503

Pegaptanib Sodium Injection

Insurance Carrier
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.19 / $749.30 / $936.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.25 / $889.25 / $924.82