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Michigan rates for HCPCS Q2042

Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Facilitymedian $1,122,018 · 10th–90th $588,844–$1,819,7010%20%10th90th$1,122,018Professionalmedian $562,341 · 10th–90th $562,341–$645,6540%50%90th$562,341$2.0$50.0$1.0K$20.0K$500.0K$10.0M

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
$724,435.96 / $1,621,810.10 / $1,819,700.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162,181.01 / $1,096,478.20 / $2,290,867.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851,138.04 / $851,138.04 / $851,138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $575,439.94 / $912,010.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $1,122,018.45 / $1,819,700.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $575,439.94 / $758,577.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575,439.94 / $616,595.00 / $616,595.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $616,595.00 / $831,763.77