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West Virginia 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 / $74.28 / $80.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $77.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.94 / $81.33 / $110.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $171.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $76.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $81.33 / $83.83