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Oklahoma rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.23 / $79.43 / $111.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $75.41 / $89.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $49.06 / $77.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $69.75 / $73.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.47 / $79.43 / $111.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.80 / $73.55 / $92.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $87.99