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Polatuzumab Vedotin-piiq Injection

New Hampshire rates for HCPCS J9309 · Polivy

Injection, polatuzumab vedotin-piiq, 1 mg

Rates data updated July 2026.

How much does Polivy (polatuzumab vedotin) cost?

$138per mg

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $138 for each mg of this drug. The price depends on where it is billed: about $138 from a physician practice, and about $224 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$138
At a hospital outpatient department
$224

The same drug, in the same amount, costs 62% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$138 to $138
FacilityA hospital or hospital-owned outpatient department$224$155 to $490

How much rates vary

Facilitymedian $224 · 10th to 90th $138 to $537Professionalmedian $138 · 10th to 90th $138 to $155
$200$500facility $224professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$363.08
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$269.15
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$147.91
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$147.91

Where New Hampshire sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Hampshire· 44th of 51

$138

IA $151VA $138

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.