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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

Facilitymedian $851,138 · 10th–90th $18,197–$1,548,8170%20%10th90th$851,138Professionalmedian $562,341 · 10th–90th $512,861–$676,0830%50%10th90th$562,341$200.0$1.0K$5.0K$20.0K$100.0K$500.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724,435.96 / $851,138.04 / $1,862,087.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $707,945.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $588,843.66 / $676,082.98
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478,630.09 / $562,341.33 / $831,763.77
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $15,488.17 / $1,380,384.26
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $512,861.38 / $537,031.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426,579.52 / $630,957.34 / $1,122,018.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346,736.85 / $512,861.38 / $691,830.97