HCPCS J9309
Injection, polatuzumab vedotin-piiq, 1 mg
Current codeChemotherapeutic Agent35 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Valley Hospital | $144 – $43,567 | $2,574 – $34,854 | $3,218 – $43,567 |
| Deaconess Medical Center | — | $213 – $225 | $532 – $564 |
| Providence Regional Medical Center Everett | — | $9,490 – $43,924 | $18,249 – $84,470 |
| Providence St Mary Medical Center | — | $17,222 – $80,370 | $24,603 – $114,814 |
| Skagit Valley Hospital | — | $2,574 – $34,854 | $3,218 – $43,567 |
| Swedish Edmonds Hospital | — | $12,305 – $46,666 | $25,635 – $97,221 |
| Swedish Issaquah | — | $12,305 – $46,666 | $25,635 – $97,221 |
| Swedish Medical Center | — | $12,305 – $46,666 | $25,635 – $97,221 |
| Swedish Medical Center / Cherry Hill | — | $12,305 – $46,666 | $25,635 – $97,221 |
| Tacoma General Allenmore Hospital | — | $239 – $251 | $598 – $627 |
| Virginia Mason Medical Center | — | $253 – $253 | $496 – $497 |
| Yakima Valley Memorial | — | $210 – $220 | $525 – $549 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $144 (APC 9331)
- Surgery center payment (national)
- $144