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Virginia 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 / $1,202,264.43 / $1,584,893.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $676,082.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $954,992.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794,328.23 / $891,250.94 / $1,348,962.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549,540.87 / $549,540.87 / $660,693.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478,630.09 / $562,341.33 / $676,082.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $602,559.59 / $1,047,128.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537,031.80 / $645,654.23 / $831,763.77
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $645,654.23 / $831,763.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $575,439.94 / $954,992.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549,540.87 / $616,595.00 / $645,654.23