| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $66.00 | $66.00 | $66.00 |
Injection, talimogene laherparepvec, 1 million plaque forming units -PFU
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $66.00 | $66.00 | $66.00 |