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Tisagenlecleucel (Kymriah), up to 600 Million CAR-T Cells

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

Rates data updated July 2026.

How much does Kymriah (tisagenlecleucel) cost?

$616,595

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $616,595 for this service. The price depends on where it is billed: about $616,595 from a physician practice, and about $616,595 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$616,595$616,595 to $616,595
FacilityA hospital or hospital-owned outpatient department$616,595$616,595 to $616,595

How much rates vary

Facilitymedian $616,595 · 10th to 90th $616,595 to $933,254Professionalmedian $616,595 · 10th to 90th $616,595 to $645,654
$1Mfacility $616,595professional $616,595

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$933,254.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$645,654.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$588,843.66
Median
$588,843.66
Typical High
$588,843.66
CareSource
Setting
Professional
Modifier
Global
Typical Low
$588,843.66
Median
$588,843.66
Typical High
$588,843.66
United
Setting
Facility
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$616,595.00
United
Setting
Professional
Modifier
Global
Typical Low
$549,540.87
Median
$758,577.58
Typical High
$1,023,292.99

Where West Virginia sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 5th of 51

$616,595

RI $645,654NC $602,560

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.