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Florida rates for HCPCS Q2042

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

Facilitymedian $758,578 · 10th–90th $562,341–$1,348,9630%20%40%10th90th$758,578Professionalmedian $562,341 · 10th–90th $562,341–$616,5950%50%90th$562,341$5.0$50.0$500.0$5.0K$50.0K$500.0K$5.0M

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 / $933,254.30 / $1,348,962.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $588,843.66
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $549,540.87 / $660,693.45
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $616,595.00 / $660,693.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575,439.94 / $616,595.00 / $1,023,292.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $616,595.00 / $776,247.12
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $562,341.33