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Hawaii 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
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $639,064.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $518,262.49 / $620,937.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825,810.81 / $825,810.81 / $825,810.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $710,071.44 / $828,416.68