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Kansas 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
$787,553.46 / $787,553.46 / $787,553.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $573,788.94 / $787,553.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451,069.50 / $473,622.98 / $497,553.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532,678.78 / $532,678.78 / $532,678.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563,231.27 / $563,231.27 / $674,814.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482,927.59 / $647,122.97 / $838,494.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984,720.00 / $984,720.00 / $984,720.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630,059.59 / $630,059.59 / $630,059.59