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Nebraska 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
$591,726.00 / $1,056,720.00 / $1,307,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $813,295.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545,669.19 / $641,963.76 / $641,963.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673,794.40 / $709,257.26 / $725,693.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488,926.88 / $518,262.49 / $620,937.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $726,935.24 / $920,784.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607,240.81 / $998,477.40 / $998,477.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593,905.03 / $607,709.68 / $848,435.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554,871.41 / $607,240.81 / $848,435.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $591,726.19