go back

Washington, DC rates for HCPCS Q2042

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

Facilitymedian $1,778,279 · 10th–90th $562,341–$2,137,9620%20%10th90th$1,778,279Professionalmedian $562,341 · 10th–90th $562,341–$645,6540%50%90th$562,341$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$562,341.33 / $1,778,279.41 / $2,137,962.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $588,843.66
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794,328.23 / $891,250.94 / $1,862,087.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $549,540.87 / $660,693.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $562,341.33 / $602,559.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $645,654.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $645,654.23 / $933,254.30