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Montana rates for HCPCS Q2042

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

Facilitymedian $602,560 · 10th–90th $501,187–$1,174,8980%20%40%10th90th$602,560Professionalmedian $562,341 · 10th–90th $562,341–$691,8310%50%90th$562,341$0.1$1.0$20.0$500.0$10.0K$200.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $676,082.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $549,540.87 / $660,693.45
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549,540.87 / $562,341.33 / $1,412,537.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $562,341.33 / $1,412,537.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $616,595.00 / $1,096,478.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $616,595.00 / $870,963.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $575,439.94 / $794,328.23