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Nebraska rates for HCPCS J9325

Injection, talimogene laherparepvec, per 1 million plaque forming units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $112.20 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $75.86 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $79.43 / $109.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $89.13 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $81.28 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $104.71 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $104.71 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $74.13 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $74.13 / $87.10