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Tennessee rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.55 / $95.62 / $160.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.55 / $73.94 / $89.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.36 / $76.34 / $88.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.37 / $73.94 / $73.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.62 / $98.35 / $369.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.70 / $310.70 / $310.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.26 / $73.94 / $85.70