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Arkansas rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.58 / $88.72 / $92.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $77.63 / $88.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.79 / $79.79 / $79.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $79.79 / $79.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.13 / $70.37 / $73.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $80.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $85.03