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Texas rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $115.13 / $161.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $74.28 / $89.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.86 / $127.15 / $242.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $72.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $73.94 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $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 / $351.90 / $369.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.70 / $310.70 / $310.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.55 / $73.94 / $108.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $75.42 / $122.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $88.72 / $146.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $73.94 / $110.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $87.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $78.38 / $82.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.37 / $73.94 / $103.52