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California rates for HCPCS J9309

Injection, polatuzumab vedotin-piiq, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $281.54 / $1,124.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $138.03 / $290.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $136.22 / $136.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.99 / $218.30 / $489.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $141.37 / $299.45
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.40 / $100.00 / $193.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.24 / $139.24 / $317.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.93 / $128.93 / $136.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $159.53
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.72 / $132.91 / $179.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $164.00 / $286.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.56 / $663.65 / $683.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.87 / $586.87 / $586.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.48 / $272.48 / $272.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $142.13 / $232.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $166.15
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.07 / $197.07 / $197.07
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.33 / $136.66 / $205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $241.76