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Minnesota 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 / $562,538.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $618,792.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520,723.39 / $1,012,017.39 / $1,947,239.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425,080.32 / $515,409.89 / $531,350.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902,283.02 / $1,552,693.60 / $1,890,307.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536,663.75 / $571,973.51 / $674,814.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778,273.96 / $1,372,736.43 / $1,703,441.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519,975.92 / $531,350.25 / $552,686.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541,635.66 / $984,441.83 / $1,654,818.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984,720.00 / $984,720.00 / $984,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62,538.19 / $62,538.19 / $62,538.19