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Kentucky 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 / $73.94 / $125.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $89.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.70 / $87.19 / $147.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $73.94 / $73.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $88.73 / $118.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $81.33 / $113.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $73.94 / $100.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.38 / $73.55 / $91.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $78.38 / $82.31