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Michigan rates for HCPCS J9325

Injection, talimogene laherparepvec, per 1 million plaque forming units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $147.91 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $75.86 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $79.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $186.21 / $239.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $97.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $77.62 / $87.10