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Kansas rates for HCPCS J9309

Inj, polatuzumab vedotin 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.53 / $159.53 / $599.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $150.33 / $198.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $136.22 / $136.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.57 / $145.28 / $152.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.31 / $141.31 / $141.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.93 / $136.66 / $146.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.22 / $141.86 / $207.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $151.65 / $586.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $144.87 / $162.63