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North Dakota 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 / $132.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $89.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.20 / $80.61 / $81.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.42 / $80.61 / $81.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.70 / $73.94 / $91.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.05 / $80.77 / $133.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $81.88 / $310.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $89.39