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Mississippi rates for HCPCS J9309

Injection, polatuzumab vedotin-piiq, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.47 / $44,190.54 / $44,190.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $138.03 / $164.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.86 / $102.86 / $112.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.00 / $109.00 / $112.42
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.03 / $132.72 / $176.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.84 / $136.66 / $174.94