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Louisiana 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 / $94.88 / $219.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $89.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $45.67 / $77.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.42 / $77.42 / $78.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $69.75 / $73.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.55 / $73.94 / $83.83