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Illinois 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 / $88.02 / $148.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $73.94 / $81.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.96 / $280.26 / $1,155.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.75 / $87.81 / $87.81
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 / $83.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.68 / $99.89 / $171.25
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
$96.12 / $96.12 / $96.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.38 / $98.53 / $105.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $78.38 / $84.02