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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

Facilitymedian $851,138 · 10th–90th $18,621–$1,548,8170%20%10th90th$851,138Professionalmedian $575,440 · 10th–90th $562,341–$758,5780%50%10th90th$575,440$5.0$50.0$500.0$5.0K$50.0K$500.0K$5.0M

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
$724,435.96 / $851,138.04 / $1,905,460.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $724,435.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $630,957.34 / $660,693.45
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $707,945.78 / $1,096,478.20
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $15,488.17 / $1,202,264.43
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575,439.94 / $575,439.94 / $575,439.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457,088.19 / $707,945.78 / $1,230,268.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $575,439.94 / $1,122,018.45