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Missouri 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
$562,341.33 / $588,843.66 / $870,963.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $660,693.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $588,843.66 / $741,310.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630,957.34 / $676,082.98 / $676,082.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $549,540.87 / $660,693.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $575,439.94 / $1,174,897.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575,439.94 / $707,945.78 / $776,247.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,778.82 / $575,439.94 / $645,654.23