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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

Facilitymedian $741,310 · 10th–90th $562,341$1,318,2570%20%10th90th$741,310Professionalmedian $616,595 · 10th–90th $489,779$1,122,0180%50%10th90th$616,595$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
$562,341.33 / $758,577.58 / $1,318,256.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $676,082.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $741,310.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $630,957.34 / $660,693.45
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575,439.94 / $954,992.59 / $2,238,721.14
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $741,310.24 / $1,096,478.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $489,778.82
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $489,778.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $501,187.23
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $741,310.24
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630,957.34 / $630,957.34 / $630,957.34
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
$269.15 / $707,945.78 / $1,348,962.88
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $588,843.66
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $489,778.82