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Idaho rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.55 / $73.55 / $84.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $76.15 / $92.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $69.75 / $73.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.55 / $92.42 / $118.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $78.37 / $92.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $63.33 / $137.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.95 / $102.38 / $174.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.72 / $88.72 / $92.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $78.38