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New Jersey 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
$724,435.96 / $851,138.04 / $1,905,460.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $758,577.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549,540.87 / $630,957.34 / $660,693.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $676,082.98 / $1,096,478.20
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $15,488.17 / $1,202,264.43
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575,439.94 / $575,439.94 / $575,439.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457,088.19 / $707,945.78 / $954,992.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $575,439.94 / $645,654.23