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Virginia rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.29 / $1,321.82 / $1,352.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.00 / $1,216.00 / $1,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.57 / $889.25 / $889.25