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Arizona 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 $3–$1,778,2790%20%10th90th$691,831Professionalmedian $562,341 · 10th–90th $562,341–$676,0830%50%90th$562,341$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$812,830.52 / $1,023,292.99 / $1,995,262.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $676,082.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $3.31 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.91 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $575,439.94 / $912,010.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $616,595.00 / $1,023,292.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575,439.94 / $616,595.00 / $891,250.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $575,439.94 / $645,654.23