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Massachusetts 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
$562,538.18 / $562,538.18 / $1,125,080.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $585,039.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434,918.00 / $974,419.42 / $1,774,245.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $986,185.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563,231.27 / $563,231.27 / $674,814.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $65,018.00 / $813,807.58
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $562,538.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $562,538.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748,281.94 / $974,419.42 / $974,419.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986,185.70 / $986,185.70 / $986,185.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62,538.19 / $62,538.19 / $62,538.19