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Georgia rates for HCPCS C9472

Injection, talimogene laherparepvec, 1 million plaque forming units -PFU

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.88 / $46.20 / $64.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $44.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $89.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $27.40 / $27.40