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New Hampshire rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.55 / $88.26 / $90.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $73.94 / $76.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.40 / $133.09 / $323.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $73.94 / $73.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $123.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $78.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $50.74 / $64.58