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Nationwide rates for HCPCS Q2042

Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Facilitymedian $691,831 · 10th–90th $0$1,445,4400%10%20%10th90th$691,831Professionalmedian $562,341 · 10th–90th $562,341$724,4360%50%90th$562,341$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $1,000,000.00 / $1,659,586.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $724,435.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $776,247.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602,559.59 / $1,318,256.74 / $1,862,087.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $616,595.00 / $660,693.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575,439.94 / $616,595.00 / $954,992.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $616,595.00 / $1,148,153.62