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Kansas 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
$828,416.68 / $828,416.68 / $828,416.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $603,560.73 / $828,416.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518,262.49 / $518,262.49 / $620,937.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.76 / $494,315.96 / $747,603.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998,477.40 / $998,477.40 / $998,477.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $591,726.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91,726.20 / $91,726.20 / $91,726.20