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Connecticut rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.89 / $107.19 / $199.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $89.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $112.40 / $221.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $78.47 / $88.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.23 / $73.94 / $81.33