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North Carolina rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.84 / $71.26 / $110.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $73.94 / $89.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.68 / $120.37 / $149.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.35 / $77.70 / $85.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $73.94 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $83.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.04 / $62.36 / $92.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.04 / $89.36 / $102.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.90 / $121.58 / $141.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $78.38 / $89.04
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.35 / $369.70 / $369.70
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.70 / $310.70 / $310.70