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Iowa 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

Facilitymedian $630,957 · 10th–90th $537,032–$933,2540%50%10th90th$630,957Professionalmedian $562,341 · 10th–90th $562,341–$794,3280%50%90th$562,341$200.0$1.0K$5.0K$20.0K$100.0K$500.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $630,957.34 / $1,122,018.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $794,328.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $562,341.33 / $660,693.45
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478,630.09 / $562,341.33 / $616,595.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478,630.09 / $537,031.80 / $870,963.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $977,237.22 / $977,237.22
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $537,031.80 / $676,082.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $524,807.46 / $676,082.98
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602,559.59 / $1,000,000.00 / $1,202,264.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $630,957.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478,630.09 / $537,031.80 / $1,000,000.00