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North Carolina rates for HCPCS J9325

Injection, talimogene laherparepvec, per 1 million plaque forming units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $70.79 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $72.44 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $120.23 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $77.62 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $83.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $74.13 / $109.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $100.00 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $114.82 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $77.62 / $83.18
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23