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Georgia 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 / $1,072,440.00 / $1,163,490.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $590,665.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $573,788.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,538.19 / $562,538.19 / $1,102,575.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $562,538.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516,485.97 / $516,485.97 / $774,728.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $776,302.70 / $1,040,695.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516,442.29 / $1,007,062.47 / $1,007,062.47