go back

New Mexico rates for HCPCS Q2042

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

Facilitymedian $616,595 · 10th–90th $4–$1,949,8450%20%10th90th$616,595Professionalmedian $575,440 · 10th–90th $562,341–$616,5950%50%10th90th$575,440$0.1$1.0$20.0$500.0$10.0K$200.0K

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
$1,659,586.91 / $1,659,586.91 / $1,949,844.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575,439.94 / $575,439.94 / $575,439.94
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $575,439.94 / $933,254.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691,830.97 / $691,830.97 / $1,023,292.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575,439.94 / $616,595.00 / $954,992.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575,439.94 / $575,439.94 / $616,595.00