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Oregon rates for HCPCS Q2042

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

Facilitymedian $100,000 · 10th–90th $100,000–$1,071,5190%50%90th$100,000Professionalmedian $562,341 · 10th–90th $562,341–$741,3100%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 / $1,122,018.45 / $1,412,537.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $707,945.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $549,540.87 / $660,693.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $562,341.33 / $1,202,264.43
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $616,595.00 / $1,071,519.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $645,654.23 / $954,992.59
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $100,000.00 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $588,843.66 / $1,023,292.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $89.13 / $758,577.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $1,258,925.41 / $1,479,108.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $575,439.94 / $870,963.59