Price of POLIVY 30 MG IV Solution at NewYork-Presbyterian
Last Updated: 2024-07-01
Locations
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NewYork-Presbyterian Columbia University Irving Medical Center
622 West 168th Street, New York, NY 10032NewYork-Presbyterian Weill Cornell Medical Center
525 East 68th Street, New York, NY 10021NewYork-Presbyterian Allen Hospital
5141 Broadway, New York, NY 10034NewYork-Presbyterian Westchester
55 Palmer Avenue, Bronxville, NY 10708NewYork-Presbyterian Lower Manhattan Hospital
170 William Street, New York, NY 10038NewYork-Presbyterian Westchester Behavioral Health
21 Bloomingdale Road, White Plains, NY 10605NewYork-Presbyterian Brooklyn Methodist Hospital
506 Sixth Street, Brooklyn, NY 11215About POLIVY 30 MG IV Solution
Service Codes: HCPCS J9309
POLIVY is an intravenous medication used to treat certain types of lymphoma by targeting cancer cells to help slow their growth and spread.
Pricing Overview
Cash Price
$12,412.54
Median Price
$126.78
Price Range
$115.28 - $10,550.66
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| Cigna | Medicare Advantage | $124.29 |
| UnitedHealthcare - Oxford | All Commercial Plans | $115.28 |
| Worldwide | All Commercial Plans | $5,640.26 |
| EmblemHealth | All NYS Essential Plans | $126.78 |
| UnitedHealthcare | Medicare Advantage | $131.18 |
| UnitedHealthcare | NY State of Health Exchange Plans | $115.28 |
| Fidelis Care | All Essential Plans | $124.29 |
| Cigna | All Commercial Plans | $3,905.61 |
| First Health | All Commercial Plans | $5,640.26 |
| Fidelis Care | Medicaid Managed Care, Child Health Plus (CHP) | $124.29 |
| WellCare | Medicare Advantage | $128.64 |
| Devon | All Commercial Plans | $5,640.26 |
| Affinity | Medicaid Managed Care/Child Health Plus (CHP) | $118.07 |
| UnitedHealthcare | Community Plan All Essential Plans | $372.87 |
| MagnaCare | All Commercial Plans | $5,640.26 |
| Aetna | Medicare Advantage | $128.02 |
| UnitedHealthcare | Community Plan Medicaid | $124.29 |
| Healthfirst | Essential Plan 1-2 | $124.29 |
| Affinity | All Essential Plans | $118.07 |
| Fidelis Care | All Exchange Plans | $124.29 |
| UnitedHealthcare - Oxford | Medicare Advantage | $131.18 |
| Aetna | Commercial | $349.46 |
| Healthfirst | Essential Plan 3-4 | $124.29 |
| MVP Health Care | Medicaid, Child Health Plus (CHP) | $131.75 |
| VNS Health | EasyCare (Medicare Advantage) | $128.02 |
| Anthem BCBS HealthPlus | All Essential Plans | $124.29 |
| Anthem BCBS HealthPlus | Medicaid | $124.29 |
| Anthem BCBS HealthPlus | Medicare Advantage | $120.56 |
| Healthfirst | Signature (Medicare Advantage) | $130.51 |
| UnitedHealthcare | Community Plan Medicare Advantage | $125.53 |
| Consumer Health Network | All Commercial Plans | $5,640.26 |
| Quality Health Management (QHM) | All Commercial Plans | $5,640.26 |
| EmblemHealth | Enhanced Care (Medicaid), Child Health Plus | $186.43 |
| CMN Global | All Commercial Plans | $5,640.26 |
| EmblemHealth | All Commercial Plans | $835.75 |
| MVP Health Care | All Essential Plans | $131.75 |
| VNS Health | MLTC (Medicaid) | $124.29 |
| Fidelis Care | Wellcare Medicare Advantage | $124.29 |
| Healthfirst | Medicaid Managed Care, Child Health Plus (CHP) | $126.78 |
| Beech Street | All Commercial Plans | $5,640.26 |
| Senior Whole Health | Medicare Advantage | $160.03 |
| Anthem BCBS HealthPlus | All Exchange Plans | $124.29 |
| EmblemHealth | Medicare Advantage | $124.29 |
| MultiPlan | All Plans | $5,640.26 |
| Anthem BCBS | Medicare Advantage | $120.56 |
| UnitedHealthcare | All Commercial Plans | $115.28 |
| UnitedHealthcare | Community Plan Child Health Plus | $10,550.66 |
| Healthfirst | All Exchange Plans | $124.29 |
| Amida Care | Medicaid Managed Care | $124.29 |
| 1199SEIU Funds | All Plans | $164.16 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $124.29 |
| Anthem BCBS | All Commercial Plans | $121.23 |