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North Dakota 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 / $562,341.33 / $1,023,292.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $616,595.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $524,807.46 / $660,693.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $831,763.77 / $1,071,519.31
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
$562,341.33 / $562,341.33 / $562,341.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $575,439.94 / $870,963.59