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Wyoming 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 / $73.55 / $73.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $81.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.26 / $83.83 / $83.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $69.75 / $69.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $90.68 / $104.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $73.94