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Utah rates for HCPCS Q2042

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

Facilitymedian $85,114 · 10th–90th $85,114–$660,6930%50%90th$85,114Professionalmedian $562,341 · 10th–90th $562,341–$660,6930%50%90th$562,341$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
$85,113.80 / $85,113.80 / $660,693.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $660,693.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $549,540.87 / $660,693.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $630,957.34 / $630,957.34
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $616,595.00 / $741,310.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $575,439.94 / $1,148,153.62