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Massachusetts 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 / $1,183,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $615,395.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787,107.50 / $977,812.60 / $977,812.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998,477.40 / $998,477.40 / $998,477.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518,262.49 / $518,262.49 / $620,937.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $65,018.00 / $868,932.68
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502,967.27 / $502,967.27 / $591,726.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $591,726.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787,107.50 / $977,812.60 / $977,812.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998,477.40 / $998,477.40 / $998,477.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,312.51 / $91,726.20 / $91,726.20