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Alaska rates for HCPCS Q2042

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

Facilitymedian $616,595 · 10th–90th $4–$1,318,2570%20%40%10th90th$616,595Professionalmedian $562,341 · 10th–90th $562,341–$616,5950%50%90th$562,341$0.1$1.0$20.0$500.0$10.0K$200.0K

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
$3,715,352.29 / $3,715,352.29 / $3,715,352.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501,187.23 / $616,595.00 / $1,479,108.39
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $660,693.45 / $1,548,816.62
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $870,963.59 / $870,963.59
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575,439.94 / $616,595.00 / $616,595.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $588,843.66 / $1,047,128.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $616,595.00 / $1,023,292.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $616,595.00 / $724,435.96