go back

Massachusetts rates for HCPCS J9309

Injection, polatuzumab vedotin-piiq, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $191.19 / $41,239.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $164.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.11 / $366.28 / $683.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $586.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.51 / $167.83 / $326.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.77 / $228.48 / $283.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.91 / $136.66 / $136.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.22 / $215.24 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $158.18
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.74 / $200.74 / $1,316.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.79 / $683.35 / $683.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $144.87 / $586.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $143.50 / $205.01