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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

Facilitymedian $954,993 · 10th–90th $562,341–$1,202,2640%20%10th90th$954,993Professionalmedian $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 / $954,992.59 / $1,202,264.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $660,693.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851,138.04 / $851,138.04 / $851,138.04
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
$467,735.14 / $588,843.66 / $891,250.94
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776,247.12 / $776,247.12 / $776,247.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $831,763.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $954,992.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $588,843.66 / $870,963.59