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Nevada rates for HCPCS Q2042

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

Facilitymedian $1,148,154 · 10th–90th $0–$1,412,5380%50%10th90th$1,148,154Professionalmedian $562,341 · 10th–90th $562,341–$616,5950%50%90th$562,341$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
$562,341.33 / $1,148,153.62 / $1,412,537.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $549,540.87 / $660,693.45
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $630,957.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $575,439.94 / $851,138.04