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Colorado 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
$562,538.18 / $1,083,270.00 / $1,132,020.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $652,544.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $562,538.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536,663.75 / $536,663.75 / $589,798.78
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,538.18 / $596,290.48 / $984,441.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613,166.62 / $618,792.00 / $804,429.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852,129.78 / $852,129.78 / $852,129.78