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Pennsylvania rates for HCPCS Q2042

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

Facilitymedian $1,202,264 · 10th–90th $616,595$1,737,8010%20%10th90th$1,202,264Professionalmedian $562,341 · 10th–90th $562,341$707,9460%50%90th$562,341$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$741,310.24 / $1,230,268.77 / $1,737,800.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $676,082.98
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $616,595.00 / $776,247.12
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $588,843.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $549,540.87 / $660,693.45
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $707,945.78 / $1,071,519.31
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $812,830.52 / $1,230,268.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $588,843.66
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645,654.23 / $1,202,264.43 / $1,479,108.39
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467,735.14 / $616,595.00 / $1,122,018.45