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Ohio 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 / $138.04 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $97.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $138.04 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $83.18 / $125.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $93.33
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $74.13 / $97.72
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $104.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $81.28 / $107.15
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $83.18 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $74.13 / $83.18