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Alabama rates for HCPCS J9309

Injection, polatuzumab vedotin-piiq, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.22 / $136.66 / $44,190.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $164.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,571.97 / $12,829.58 / $17,259.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.17 / $136.66 / $150.34