HCPCS J2503
Injection, pegaptanib sodium, 0.3 mg
Retired codeInjection - Growth/Hormone Factor25 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,084 – $4,505 | — | — |
| Deaconess Medical Center | $1,423 – $1,965 | — | — |
| Harborview Medical Center | $1,553 | — | — |
| Kadlec Regional Medical Center | $2,723 – $3,449 | — | — |
| Legacy Salmon Creek Medical Center | $2,042 | — | — |
| Mary Bridge Children's Hospital | $1,423 – $5,835 | — | — |
| MultiCare Auburn Medical Center | $1,022 – $5,450 | — | — |
| MultiCare Covington Medical Center | $1,022 – $5,450 | — | — |
| MultiCare Good Samaritan Hospital | $1,423 – $5,450 | — | — |
| MultiCare Valley Hospital | $1,423 – $1,965 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,461 – $2,156 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $815 – $1,512 | — | — |
| Providence Centralia Hospital | $1,905 – $3,449 | — | — |
| Providence Holy Family Hospital | $815 – $1,512 | — | — |
| Providence Regional Medical Center Everett | $815 – $1,512 | — | — |
| Providence St Mary Medical Center | $1,512 | — | — |
| Providence St Peter Hospital | $1,572 | — | — |
| Swedish Edmonds Hospital | $815 | — | — |
| Swedish Issaquah | $815 | — | — |
| Swedish Medical Center | $815 | — | — |
| Swedish Medical Center / Cherry Hill | $815 | — | — |
| Tacoma General Allenmore Hospital | $1,022 – $5,450 | — | — |
| University of Washington Medical Ctr | $1,553 | — | — |
| Virginia Mason Medical Center | $1,571 – $3,262 | — | — |
| Yakima Valley Memorial | $1,214 – $1,401 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.