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Connecticut rates for HCPCS J9309

Injection, polatuzumab vedotin-piiq, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.13 / $198.17 / $381.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $138.03 / $164.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $206.03 / $409.67
Anthem 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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.82 / $145.05 / $163.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.84 / $136.66 / $150.34