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Florida 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 / $1,040,700.00 / $1,234,930.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $618,792.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536,663.75 / $563,231.27 / $674,814.82
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $562,538.18
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265,675.20 / $531,350.40 / $562,538.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $70.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516,442.29 / $630,059.59 / $921,849.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62,538.19 / $502,284.73 / $502,284.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541,635.69 / $541,635.69 / $562,538.19