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West 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 $851,138 · 10th–90th $575,440–$1,148,1540%20%40%10th90th$851,138Professionalmedian $562,341 · 10th–90th $562,341–$588,8440%50%90th$562,341$500.0K$1.0M

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
$575,439.94 / $851,138.04 / $1,148,153.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $588,843.66
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $588,843.66
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $588,843.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $645,654.23 / $812,830.52