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Illinois rates for HCPCS J9325

Injection, talimogene laherparepvec, per 1 million plaque forming units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $123.03 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $281.84 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $83.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $112.20 / $177.83
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $100.00 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $75.86 / $83.18