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Washington, DC 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 / $1,689,900.00 / $2,058,220.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $568,163.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679,024.34 / $772,682.87 / $1,606,243.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563,231.27 / $563,231.27 / $674,814.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478,157.46 / $510,096.35 / $573,858.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62,538.19 / $62,538.19 / $62,538.19