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Tennessee 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
$591,726.19 / $693,990.00 / $1,260,170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $621,312.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518,262.49 / $536,144.14 / $620,937.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769,874.80 / $787,107.50 / $977,812.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998,477.40 / $998,477.40 / $998,477.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $591,726.19