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Illinois rates for HCPCS C9472

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $44.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00