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Indiana rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.28 / $168.86 / $509.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $81.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.93 / $147.86 / $178.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $102.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $73.94 / $110.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $92.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $73.94 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $83.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $78.38 / $83.83