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California 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
$794,328.23 / $1,230,268.77 / $1,905,460.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $1,949,844.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $630,957.34
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $97.72 / $676,082.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $660,693.45 / $1,230,268.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $549,540.87 / $660,693.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97,723.72 / $588,843.66 / $794,328.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512,861.38 / $588,843.66 / $1,000,000.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $575,439.94 / $1,023,292.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $616,595.00 / $645,654.23
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,778.82 / $676,082.98 / $1,047,128.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $562,341.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $309,029.54 / $645,654.23