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Washington rates for HCPCS C9472

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

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.68 / $232.40 / $232.40
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $44.88