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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $1,000,000.00 / $1,380,384.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $616,595.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380,189.40 / $912,010.84 / $1,862,087.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $562,341.33 / $562,341.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $549,540.87 / $660,693.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $616,595.00 / $1,148,153.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $616,595.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398,107.17 / $575,439.94 / $707,945.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $588,843.66 / $1,071,519.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $616,595.00 / $1,023,292.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $588,843.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,778.82 / $575,439.94 / $645,654.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $707,945.78