go back

Arizona rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.75 / $147.88 / $10,202.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $74.67 / $97.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.15 / $221.49 / $387.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.13 / $70.98 / $77.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $73.94 / $73.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.55 / $85.03 / $130.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $73.55 / $159.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $78.38