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West Virginia rates for HCPCS J2503

Injection, pegaptanib sodium, 0.3 mg

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.49 / $757.38 / $1,413.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.57 / $889.25 / $889.25