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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

Facilitymedian $630,957 · 10th–90th $537,032–$1,122,0180%20%40%10th90th$630,957Professionalmedian $562,341 · 10th–90th $562,341–$707,9460%50%90th$562,341$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$562,341.33 / $831,763.77 / $1,318,256.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $707,945.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501,187.23 / $616,595.00 / $660,693.45
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660,693.45 / $676,082.98 / $691,830.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $549,540.87 / $660,693.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $707,945.78 / $977,237.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602,559.59 / $1,000,000.00 / $1,000,000.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602,559.59 / $602,559.59 / $741,310.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $691,830.97 / $851,138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524,807.46 / $616,595.00 / $1,148,153.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575,439.94 / $588,843.66 / $691,830.97