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Oklahoma 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
$562,341.33 / $616,595.00 / $1,047,128.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $616,595.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $34,673.69 / $57,543.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630,957.34 / $630,957.34 / $630,957.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.31 / $1,047,128.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $588,843.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $616,595.00 / $645,654.23