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Illinois 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
$578,325.00 / $1,035,520.00 / $1,509,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $615,395.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887,589.30 / $887,589.30 / $887,589.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $518,262.49 / $620,937.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480,780.26 / $591,726.19 / $887,589.30
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769,244.06 / $769,244.06 / $769,244.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $850,793.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $591,726.19