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Rhode Island rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.31 / $240.31 / $240.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $77.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.26 / $73.55 / $77.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $82.31