go back

Polatuzumab Vedotin-piiq Injection

Utah 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 Utah, 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 $158 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
$158

The same drug, in the same amount, costs 15% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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 $158
FacilityA hospital or hospital-owned outpatient department$158$158 to $245

How much rates vary

Facilitymedian $158 · 10th to 90th $158 to $324Professionalmedian $138 · 10th to 90th $138 to $170
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $158professional $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
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$177.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$398.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$190.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Select Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$141.25

Where Utah 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.

Utah $138 · 38th 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.