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Arkansas 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
Facility
Modifier
Low / Median / High Price
$622,881.00 / $675,045.82 / $675,045.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $579,414.32 / $675,045.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563,231.27 / $563,231.27 / $674,814.82