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Iowa rates for HCPCS Q2042

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

Facilitymedian $602,560 · 10th–90th $489,779–$1,318,2570%20%40%10th90th$602,560Professionalmedian $562,341 · 10th–90th $562,341–$758,5780%50%90th$562,341$5.0$50.0$500.0$5.0K$50.0K$500.0K

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 / $851,138.04 / $2,137,962.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $758,577.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $549,540.87 / $660,693.45
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $588,843.66 / $645,654.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $562,341.33 / $831,763.77
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $1,000,000.00 / $1,000,000.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $602,559.59 / $741,310.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $741,310.24
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
$537,031.80 / $602,559.59 / $891,250.94