go back

Rhode Island rates for HCPCS J9309

Injection, polatuzumab vedotin-piiq, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.18 / $444.18 / $444.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $143.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.60 / $136.22 / $143.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $136.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $152.13