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South Carolina rates for HCPCS J9325

Injection, talimogene laherparepvec, per 1 million plaque forming units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $104.71 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $67.61 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $83.18 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $74.13 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $79.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $77.62 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $74.13 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $77.62 / $83.18