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Polatuzumab Vedotin-piiq Injection

Arizona rates for HCPCS J9309 · Polivy

Injection, polatuzumab vedotin-piiq, 1 mg

Rates data updated July 2026.

How much does Polivy (polatuzumab vedotin) cost?

$138per mg

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $138 for each mg of this drug. The price depends on where it is billed: about $138 from a physician practice, and about $240 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$138
At a hospital outpatient department
$240

The same drug, in the same amount, costs 74% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$138 to $151
FacilityA hospital or hospital-owned outpatient department$240$151 to $437

How much rates vary

Facilitymedian $240 · 10th to 90th $135 to $661Professionalmedian $138 · 10th to 90th $138 to $182
$100$200$500$1Kfacility $240professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$239.88
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$478.63
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$234.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$151.36

Where Arizona sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 41st of 51

$138

IA $151VA $138

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.