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Illinois 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 $954,993 · 10th–90th $562,341–$1,479,1080%20%40%10th90th$954,993Professionalmedian $562,341 · 10th–90th $562,341–$707,9460%50%90th$562,341$100.0$1.0K$10.0K$100.0K$1.0M

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 / $977,237.22 / $1,479,108.39
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
$851,138.04 / $851,138.04 / $851,138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $562,341.33 / $676,082.98
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436,515.83 / $562,341.33 / $851,138.04
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724,435.96 / $724,435.96 / $724,435.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $758,577.58 / $831,763.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $851,138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346,736.85 / $512,861.38 / $691,830.97