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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

Facilitymedian $588,844 · 10th–90th $3–$912,0110%20%40%10th90th$588,844Professionalmedian $575,440 · 10th–90th $562,341–$676,0830%50%10th90th$575,440$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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 / $588,843.66 / $870,963.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $660,693.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $776,247.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630,957.34 / $676,082.98 / $676,082.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $549,540.87 / $660,693.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $575,439.94 / $1,202,264.43
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 / $707,945.78 / $776,247.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $602,559.59 / $812,830.52