| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578,325.00 | $578,325.00 | $578,325.00 | |
Aetna
| Professional | $591,726.19 | $591,726.19 | $650,898.81 |
Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578,325.00 | $578,325.00 | $578,325.00 | |
Aetna
| Professional | $591,726.19 | $591,726.19 | $650,898.81 |