Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLR [144062]
Arlington, TX
See all hospitals reporting HCPCS J9309 →Price type
AMH Cath Labs LLC’s median price of $5.6k is 2398% above the median hospital's median price ($225), higher than 76% of the 1,685 hospitals reporting HCPCS J9309. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 2 | Humana medicare advantage case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 4 | Molina medicare advantage case rate · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $259 | $259 | — | — | — | $259 – $259 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $265 | $265 | — | — | — | $265 – $265 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $287 | $287 | — | — | — | $287 – $287 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | $2.0k | 65% | — | $1.1k – $5.2k |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | $2.0k | 65% | — | $1.1k – $5.2k |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.3k | $2.1k | 65% | — | $1.2k – $5.4k |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | $2.2k | 65% | — | $1.2k – $5.6k |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | $2.2k | 65% | — | $1.2k – $5.7k |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $12.2k | $12.2k | $7.9k | 65% | — | $4.3k – $20.0k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $14.9k | $14.9k | $9.7k | 65% | — | $5.3k – $24.6k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $16.2k | $16.2k | $10.5k | 65% | — | $5.7k – $26.7k |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $19.4k | $19.4k | $12.6k | 65% | — | $6.9k – $32.0k |
| 24 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $19.9k | $19.9k | $12.9k | 65% | — | $7.0k – $32.8k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $24.4k | $24.4k | $15.8k | 65% | — | $8.6k – $40.2k |
Last updated: Apr 21, 2026
See Injection of polatuzumab vedotin, per milligram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.