Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PEGCETACOPLAN (PF) 15 MG/0.1 ML INTRAVITREAL SOLUT
Lowell, MA
See all hospitals reporting HCPCS J2781 →Price type
Lowell General Hospital’s median price of $4.0k is 2251% above the median hospital's median price ($169), higher than 96% of the 1,157 hospitals reporting HCPCS J2781. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield hb xr bcbsma hmo lgh fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 2 | Blue Cross Blue Shield hb xr bcbsma ppo ppa lgh fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | UnitedHealthcare hb xr hphc self insured referral hmo pos ppo lgh fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Cigna hb xr cigna lgh fee schedule · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | Cigna hb xr thp ppo lgh fee schedule · both | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 6 | Amerihealth Caritas hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 7 | First Health hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 8 | UnitedHealthcare hb xr uhc lgh percent of total billed charges · bothfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 9 | MultiPlan hb xr claritev lgh percent of total billed charges · bothfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 10 | Aetna hb xr aetna hmo ppo lgh percent of total billed charges · bothfrom % of charges | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 11 | Medicaid hb xr medicaid limited cmsp 100% percent of total billed charges · bothfrom % of charges | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
Last updated: Apr 1, 2026
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