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Vermont rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $141.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.70 / $83.70 / $83.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $79.67 / $132.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $132.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $79.67 / $132.78
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $132.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.26 / $78.38 / $170.83