go back

Pegaptanib Injection

Wisconsin rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Rates data updated July 2026.

Facilitymedian $1,514 · 10th–90th $794$3,9810%10%10th90th$1,514Professionalmedian $891 · 10th–90th $832$1,3490%20%40%10th90th$891$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,905.46
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,202.26
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$6,025.60
Typical High
$6,025.60