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Indiana 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
$0.02 / $1,578,830.00 / $4,005,070.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $609,477.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $781,525.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $887,589.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591,726.19 / $650,898.80 / $887,589.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $650,898.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $493,816.14 / $620,937.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $591,726.19