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Florida rates for HCPCS J9309

Inj, polatuzumab vedotin 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $229.68 / $452.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $136.66 / $157.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $136.22 / $136.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.93 / $136.66 / $139.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $144.40 / $144.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.26 / $70.69 / $102.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $144.87 / $152.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $136.22 / $136.66