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Kentucky 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
$591,726.19 / $591,726.19 / $1,005,930.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $597,643.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641,967.11 / $697,790.34 / $697,790.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $754,450.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591,726.19 / $680,485.10 / $946,761.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $650,898.81 / $858,002.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $2.81 / $542,708.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $752,402.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $591,726.19