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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

Facilitymedian $588,844 · 10th–90th $0$1,288,2500%20%10th90th$588,844Professionalmedian $575,440 · 10th–90th $562,341$794,3280%50%10th90th$575,440$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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 / $1,202,264.43 / $1,584,893.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $1,023,292.99
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794,328.23 / $891,250.94 / $1,348,962.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $549,540.87 / $660,693.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $602,559.59 / $676,082.98
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $588,843.66 / $1,023,292.99
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588,843.66 / $707,945.78 / $912,010.84
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $707,945.78 / $912,010.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575,439.94 / $616,595.00 / $1,230,268.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575,439.94 / $616,595.00 / $645,654.23