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Polatuzumab Vedotin-piiq Injection

Pennsylvania 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 Pennsylvania, 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 $200 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
$200

The same drug, in the same amount, costs 45% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 10 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 $145
FacilityA hospital or hospital-owned outpatient department$200$138 to $269

How much rates vary

Facilitymedian $200 · 10th to 90th $138 to $355Professionalmedian $138 · 10th to 90th $138 to $162
$100.0$1.0K$10.0Kfacility $200professional $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
$204.17
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$151.36
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$141.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$147.91
Typical High
$147.91
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$239.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$102.33
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$338.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$257.04
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$194.98
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$165.96

Where Pennsylvania sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $138 · 37th of 51
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.