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Ohio 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 / $160.44 / $246.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $73.94 / $94.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.84 / $129.12 / $212.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $82.81 / $124.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $73.94 / $111.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $99.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $73.94 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $91.06
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.37 / $85.00 / $109.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $104.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $84.45 / $102.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $87.99