go back

California rates for HCPCS Q2042

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

Facilitymedian $676,083 · 10th–90th $0$1,380,3840%20%10th90th$676,083Professionalmedian $575,440 · 10th–90th $562,341$1,380,3840%50%10th90th$575,440$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
$794,328.23 / $1,230,268.77 / $1,905,460.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $1,949,844.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575,439.94 / $616,595.00 / $616,595.00
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $2,630.27 / $741,310.24
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $691,830.97 / $1,288,249.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $549,540.87 / $660,693.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97,723.72 / $588,843.66 / $794,328.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $616,595.00 / $1,000,000.00
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $575,439.94 / $1,023,292.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $616,595.00 / $691,830.97
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $676,082.98 / $1,047,128.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $575,439.94 / $954,992.59