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North Carolina 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$1,000,0000%50%10th90th$602,560Professionalmedian $602,560 · 10th–90th $562,341$660,6930%50%10th90th$602,560$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
Facility
Modifier
Typical Low / Median / Typical High
$501,187.23 / $676,082.98 / $676,082.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $562,341.33 / $616,595.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630,957.34 / $933,254.30 / $1,174,897.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602,559.59 / $602,559.59 / $660,693.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $549,540.87 / $660,693.45
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501,187.23 / $575,439.94 / $933,254.30
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758,577.58 / $758,577.58 / $758,577.58
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $954,992.59 / $1,071,519.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $616,595.00 / $794,328.23
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00