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West Virginia rates for HCPCS J9309

Injection, polatuzumab vedotin-piiq, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.22 / $95,316.00 / $95,316.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $149.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $150.34 / $205.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $316.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.93 / $135.60 / $136.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $136.66 / $141.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.04 / $479.04 / $479.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $150.34 / $158.97