| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,298.29 | $1,321.82 | $1,352.39 | |
Medcost
| Professional | $1,216.00 | $1,216.00 | $1,216.00 | |
United
| Professional | $862.57 | $889.25 | $889.25 |
Injection, pegaptanib sodium, 0.3 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,298.29 | $1,321.82 | $1,352.39 | |
Medcost
| Professional | $1,216.00 | $1,216.00 | $1,216.00 | |
United
| Professional | $862.57 | $889.25 | $889.25 |