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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597,643.46 / $597,643.46 / $597,643.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $597,643.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591,726.19 / $650,898.80 / $887,589.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591,726.19 / $591,726.19 / $1,371,945.68