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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578,325.00 / $578,325.00 / $1,183,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $650,898.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493,816.14 / $518,262.49 / $620,937.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.00 / $591,726.19 / $1,242,625.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $591,726.19 / $1,023,686.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $698,236.92 / $769,244.06
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $99,999.00 / $99,999.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $591,726.19 / $1,035,520.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605,779.36 / $606,984.21 / $669,878.72