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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828,552.00 / $1,081,250.00 / $1,759,660.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $573,788.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531,350.25 / $536,663.75 / $664,187.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478,157.46 / $562,538.18 / $1,018,194.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473,458.43 / $541,635.66 / $800,144.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519,174.15 / $984,720.00 / $984,720.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519,174.15 / $568,717.43 / $774,728.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519,174.15 / $568,717.43 / $774,728.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,201.24 / $1,003,529.22 / $1,004,130.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852,129.78 / $852,129.78 / $852,129.78