Pegaptanib sodium injection cost in Illinois

Pegaptanib sodium injection · HCPCS J2503

Hospital City Cash price Negotiated range Payers
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $1,236.06 – $1,236.06 1
UnityPoint Health - Trinity Moline Rock Island not published $889.25 – $2,641.07 5
Advocate Good Samaritan Hospital Downers Grove not published $1,541.18 – $4,911.22 9
Advocate Condell Medical Center Libertyville not published $1,571.00 – $3,025.44 9
Advocate Christ Medical Center Oak Lawn not published $1,541.18 – $4,797.67 9
MercyOne Genesis Aledo Medical Center Aledo not published $1,494.09 – $2,549.49 2
MercyOne Genesis Silvis Medical Center Silvis not published $941.38 – $941.38 1
Advocate Trinity Hospital Chicago not published $1,541.18 – $4,911.22 9
Advocate South Suburban Hospital Hazel Crest not published $1,541.18 – $4,928.96 9
Advocate Sherman Hospital Elgin not published $1,571.00 – $2,310.80 9
Advocate Childrens Hospital - Park Ridge Park Ridge not published $1,541.18 – $4,865.09 9
Advocate Illinois Masonic Medical Center Chicago not published $1,541.18 – $4,943.16 9