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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544,477.00 / $984,442.00 / $1,586,090.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $585,039.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843,807.28 / $843,807.28 / $843,807.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536,663.75 / $563,231.27 / $674,814.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450,030.55 / $562,538.18 / $843,807.29
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731,299.65 / $731,299.65 / $731,299.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516,442.28 / $723,019.20 / $774,663.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516,442.29 / $852,129.78 / $852,129.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62,538.19 / $62,538.19 / $62,538.19