go back

Iowa 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
$848,091.00 / $1,137,360.00 / $1,801,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $603,560.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488,926.88 / $493,816.14 / $611,158.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502,967.27 / $591,726.19 / $1,071,024.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.89 / $542,778.31 / $799,628.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554,871.41 / $998,477.40 / $998,477.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554,871.41 / $607,709.68 / $848,435.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554,871.41 / $607,709.68 / $848,435.75