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South Dakota rates for HCPCS Q2042

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

Facilitymedian $562,341 · 10th–90th $3–$1,122,0180%20%40%10th90th$562,341Professionalmedian $562,341 · 10th–90th $562,341–$616,5950%50%90th$562,341$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
$562,341.33 / $562,341.33 / $1,122,018.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $588,843.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $524,807.46 / $660,693.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $4.68 / $1,047,128.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $1,000,000.00 / $1,000,000.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602,559.59 / $602,559.59 / $741,310.24
Sanford Health Plan
Facility/Professional
Professional
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
$537,031.80 / $645,654.23 / $870,963.59