go back

Washington, DC rates for HCPCS J9309

Injection, polatuzumab vedotin-piiq, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $330.74 / $517.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $187.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $136.22 / $163.22
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 / $171.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.17 / $127.18 / $143.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $152.13 / $201.18