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North Dakota rates for HCPCS J9325

Injection, talimogene laherparepvec, per 1 million plaque forming units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $75.86 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $77.62 / $131.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $81.28 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $87.10