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New Jersey rates for HCPCS J9309

Injection, polatuzumab vedotin-piiq, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $167.56 / $373.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $160.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $138.29 / $178.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $141.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.82 / $148.27 / $166.74
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.69 / $295.20 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.72 / $131.86 / $134.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $144.41 / $158.97