go back

New Hampshire 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 / $83.18 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $194.98 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $74.13 / $77.62
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $97.72 / $120.23