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Idaho rates for HCPCS Q2042

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

Facilitymedian $660,693 · 10th–90th $501,187–$933,2540%20%10th90th$660,693Professionalmedian $562,341 · 10th–90th $562,341–$676,0830%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 / $933,254.30 / $933,254.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $676,082.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977,237.22 / $977,237.22 / $977,237.22
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676,082.98 / $676,082.98 / $676,082.98
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $645,654.23 / $1,000,000.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $645,654.23 / $794,328.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $630,957.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $575,439.94 / $676,082.98