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Pegaptanib Injection

Wisconsin rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Rates data updated July 2026.

How much does Pegaptanib Injection cost?

$977per 0.3 mg

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $977 for each 0.3 mg of this drug. The price depends on where it is billed: about $891 from a physician practice, and about $1,514 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.3 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$891
At a hospital outpatient department
$1,514

The same drug, in the same amount, costs 70% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$891$891 to $1,202
FacilityA hospital or hospital-owned outpatient department$1,514$977 to $2,188

How much rates vary

Facilitymedian $1,514 · 10th to 90th $794 to $3,981Professionalmedian $891 · 10th to 90th $832 to $1,349
$100$200$500$1K$2K$5Kfacility $1,514professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Wisconsin sits

The same service costs 8.1 times more in North Carolina than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 15th of 34

$977

NC $6,026AR $741

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.