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Maryland 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 / $73.55 / $73.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $109.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.54 / $73.54 / $73.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.37 / $70.37 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $87.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.85 / $73.94 / $75.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $82.31 / $89.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.37 / $70.37 / $99.29