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South Carolina rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.65 / $77.63 / $312.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $73.94 / $77.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.58 / $67.69 / $111.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $79.64 / $95.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $73.94 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $76.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.04 / $73.94 / $108.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.04 / $46.04 / $100.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.05 / $77.22 / $175.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.85 / $78.38 / $85.03