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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
$591,726.19 / $591,726.19 / $1,584,610.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $615,395.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $558,232.27 / $1,004,818.09
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $578,771.12 / $1,253,229.36
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578,324.57 / $578,324.57 / $578,771.12