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Nebraska 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
$473,458.00 / $828,552.00 / $1,243,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $787,553.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518,753.03 / $610,297.68 / $610,297.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631,048.87 / $664,261.96 / $689,896.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531,350.25 / $563,231.27 / $674,814.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473,458.43 / $781,206.41 / $899,571.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $984,720.00 / $984,720.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542,264.40 / $568,717.43 / $774,728.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519,174.15 / $568,717.43 / $774,728.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657,775.44 / $658,169.68 / $1,147,577.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469,962.48 / $630,059.59 / $1,368,572.07