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Idaho 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 $676,083 · 10th–90th $562,341–$933,2540%20%10th90th$676,083Professionalmedian $562,341 · 10th–90th $562,341–$707,9460%50%90th$562,341$50.0$500.0$5.0K$50.0K$500.0K

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 / $933,254.30 / $933,254.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $707,945.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891,250.94 / $891,250.94 / $891,250.94
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575,439.94 / $616,595.00 / $616,595.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $676,082.98 / $977,237.22
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $602,559.59 / $794,328.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $588,843.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436,515.83 / $512,861.38 / $549,540.87