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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501,187.23 / $676,082.98 / $676,082.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501,187.23 / $562,341.33 / $660,693.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794,328.23 / $1,148,153.62 / $1,148,153.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602,559.59 / $602,559.59 / $660,693.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549,540.87 / $549,540.87 / $660,693.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $562,341.33 / $954,992.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588,843.66 / $954,992.59 / $1,071,519.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $616,595.00 / $660,693.45
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00