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Tennessee rates for HCPCS J9309

Injection, polatuzumab vedotin-piiq, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.22 / $177.10 / $296.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $136.66 / $164.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $136.22 / $136.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.72 / $142.66 / $163.22
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.56 / $181.79 / $683.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.87 / $586.87 / $586.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.84 / $136.66 / $152.13