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Kansas rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.02 / $83.83 / $323.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $79.84 / $103.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.26 / $78.08 / $82.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $76.45 / $76.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $73.94 / $76.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.55 / $76.04 / $112.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $81.88 / $310.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $78.38 / $87.99