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Arkansas rates for HCPCS Q2042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710,071.44 / $710,071.44 / $710,071.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $609,477.99 / $710,071.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518,262.49 / $518,262.49 / $620,937.13