go back

Minnesota rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $89.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.67 / $66.38 / $121.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.90 / $67.77 / $69.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.12 / $113.68 / $230.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.42 / $78.87 / $91.06
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.96 / $109.90 / $250.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.70 / $71.70 / $76.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.55 / $73.55 / $139.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $81.88 / $189.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $78.38 / $137.08