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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591,726.19 / $1,804,370.00 / $2,197,630.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $597,643.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716,043.60 / $814,808.23 / $1,693,813.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518,262.49 / $518,262.49 / $620,937.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502,967.27 / $519,580.93 / $591,726.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91,726.20 / $91,726.20 / $91,726.20