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Alaska rates for HCPCS Q2054

Lisocabtagene maraleucel, up to 110 million autologous anti-CD19 CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478,157.46 / $618,792.00 / $1,046,321.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568,163.56 / $1,046,321.02 / $1,496,239.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $610,300.86 / $1,406,345.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779,601.46 / $892,668.67 / $1,402,765.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637,620.48 / $765,144.58 / $765,144.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,538.18 / $1,046,321.02 / $1,930,410.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584,972.92 / $620,071.30 / $701,967.50