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Maryland rates for HCPCS J9309

Injection, polatuzumab vedotin-piiq, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.22 / $136.22 / $23,473.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $223.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $136.22 / $136.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.91 / $132.91 / $135.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $161.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.17 / $136.66 / $143.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $152.13 / $165.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.91 / $132.91 / $183.91