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Minnesota rates for HCPCS Q2042

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

Facilitymedian $1,288,250 · 10th–90th $257,040–$1,949,8450%20%10th90th$1,288,250Professionalmedian $562,341 · 10th–90th $524,807–$660,6930%50%10th90th$562,341$5.0$50.0$500.0$5.0K$50.0K$500.0K$5.0M

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
$562,341.33 / $562,341.33 / $562,341.33
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
$588,843.66 / $1,023,292.99 / $2,398,832.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794,328.23 / $1,548,816.62 / $1,862,087.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $616,595.00 / $660,693.45
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230,268.77 / $1,445,439.77 / $1,949,844.60
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $524,807.46 / $562,341.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $1,071,519.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $616,595.00 / $912,010.84