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Maryland 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
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $621,312.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518,262.49 / $518,262.49 / $620,937.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502,967.27 / $584,528.54 / $617,002.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,107.25 / $51,107.25 / $51,107.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565,623.80 / $565,623.80 / $780,738.20