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New York 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 $724,436 · 10th–90th $562,341–$1,318,2570%20%10th90th$724,436Professionalmedian $562,341 · 10th–90th $426,580–$812,8310%50%10th90th$562,341$100.0$1.0K$10.0K$100.0K$1.0M

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
$562,341.33 / $741,310.24 / $1,318,256.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $707,945.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $562,341.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $691,830.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $588,843.66 / $676,082.98
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $691,830.97 / $1,778,279.41
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $562,341.33 / $912,010.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $562,341.33 / $562,341.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $562,341.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $537,031.80
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $1,174,897.55
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $588,843.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512,861.38 / $562,341.33 / $851,138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407,380.28 / $512,861.38 / $891,250.94
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $562,341.33 / $616,595.00
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $562,341.33