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New Hampshire rates for HCPCS Q2042

Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Facilitymedian $0 · 10th–90th $0–$1,122,0180%20%10th90th$0Professionalmedian $616,595 · 10th–90th $562,341–$660,6930%50%10th90th$616,595$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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 / $676,082.98 / $1,122,018.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $660,693.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $616,595.00 / $616,595.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $831,763.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954,992.59 / $954,992.59 / $954,992.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $575,439.94
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407,380.28 / $457,088.19 / $501,187.23