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Maryland 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
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $590,665.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563,231.27 / $563,231.27 / $674,814.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478,157.46 / $562,538.18 / $590,665.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47,385.35 / $62,538.19 / $62,538.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516,486.00 / $516,486.00 / $736,925.00