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Texas rates for HCPCS J2503

Pegaptanib Sodium Injection

Insurance Carrier
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.13 / $4,966.62 / $5,147.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.30 / $1,027.30 / $1,027.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.25 / $889.25 / $889.25