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Texas rates for HCPCS Q2042

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

Facilitymedian $741,310 · 10th–90th $398,107$1,380,3840%20%10th90th$741,310Professionalmedian $562,341 · 10th–90th $562,341$616,5950%50%90th$562,341$0.1$1.0$20.0$500.0$10.0K$200.0K$5.0M

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 / $1,000,000.00 / $1,380,384.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380,189.40 / $912,010.84 / $1,862,087.14
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $562,341.33 / $562,341.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $549,540.87 / $660,693.45
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $588,843.66 / $1,122,018.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $630,957.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398,107.17 / $575,439.94 / $707,945.78
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $588,843.66 / $1,071,519.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $616,595.00 / $660,693.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575,439.94 / $616,595.00 / $954,992.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $616,595.00 / $794,328.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $562,341.33 / $616,595.00