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Oklahoma 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 / $79.43 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $45.71 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $79.43 / $123.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $74.13 / $93.33
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