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New York 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 / $769,172.00 / $1,272,310.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $615,395.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $591,726.19 / $591,726.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493,816.14 / $518,262.49 / $620,937.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $558,232.27 / $1,256,022.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $591,726.21 / $1,021,565.05
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488,907.35 / $488,907.35 / $488,907.35
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488,907.35 / $488,907.35 / $488,907.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496,801.48 / $496,801.48 / $496,801.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518,262.49 / $613,497.39 / $672,074.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488,907.35 / $488,907.35 / $488,907.35
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488,907.35 / $488,907.35 / $488,907.35