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Arizona rates for HCPCS J9325

Injection, talimogene laherparepvec, per 1 million plaque forming units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $131.83 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $154.88 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $81.28 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $81.28 / $125.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $74.13 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $74.13 / $81.28