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New Jersey 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 / $1,484,080.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $590,665.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487,779.67 / $562,538.18 / $834,520.09
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $516,442.29 / $1,173,724.48
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473,458.43 / $516,442.28 / $541,635.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421,913.95 / $516,442.29 / $1,368,572.07