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Pegaptanib Injection

Wisconsin rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Rates data updated October 2026.

How much does Pegaptanib Injection cost?

$1,047per 0.3 mg

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $1,047 for each 0.3 mg of this drug. Most negotiated rates run $891 to $1,230.

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
At a hospital outpatient department
$1,905

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,905 · 10th to 90th $794 to $2,188Professionalmedian $1,000 · 10th to 90th $891 to $1,349
$1K$2Kfacility $1,905professional $1,000

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,174.90
Median
$1,905.46
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$794.33
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,230.27
Network Health
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24

Where Wisconsin sits

The same service costs 4.1 times more in Colorado than in Washington. 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· 12th of 33

$1,047

CO $2,754WA $676

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.