J2781 — Injection, pegcetacoplan, intravitreal, 1 mg

What the market charges

Across 1,067 negotiated rates, the middle 80% fall between $138 and $366, with a median of $180.

What Medicare pays

Medicare allowed an average of $147 for this code, across 2,452,956 services billed by 857 providers. At the median, the market charges 1.2 times what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing J2781 most, by Medicare service volume, each compared against the national average of $147. Each links to the providers Mishe lists there.

  • California — 86 providers billed it, Medicare allowed $147 — level with the national average
  • Florida — 77 providers billed it, Medicare allowed $147 — level with the national average
  • Texas — 66 providers billed it, Medicare allowed $147 — level with the national average
  • Maryland — 29 providers billed it, Medicare allowed $147 — level with the national average
  • New York — 57 providers billed it, Medicare allowed $146 — 1% below the national average
  • Ohio — 36 providers billed it, Medicare allowed $146 — 1% below the national average
  • Pennsylvania — 44 providers billed it, Medicare allowed $147 — level with the national average
  • New Jersey — 38 providers billed it, Medicare allowed $147 — level with the national average

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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