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Virginia rates for HCPCS J9325

Injection, talimogene laherparepvec, per 1 million plaque forming units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $154.88 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $141.25 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $123.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $74.13 / $83.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $77.62 / $123.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $74.13
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $79.43 / $109.65
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $74.13 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $77.62 / $83.18