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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

Facilitymedian $0 · 10th–90th $0$1,584,8930%50%90th$0Professionalmedian $575,440 · 10th–90th $562,341$660,6930%50%10th90th$575,440$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
$630,957.34 / $1,584,893.19 / $2,570,395.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $724,435.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $1,000,000.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588,843.66 / $707,945.78 / $1,071,519.31
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $588,843.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $549,540.87 / $660,693.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $1,148,153.62 / $1,148,153.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $575,439.94 / $870,963.59