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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $741,310.24 / $1,318,256.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $741,310.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $562,341.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $691,830.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $588,843.66 / $676,082.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $691,830.97 / $1,778,279.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478,630.09 / $562,341.33 / $912,010.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537,031.80 / $562,341.33 / $562,341.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $562,341.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $1,174,897.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588,843.66 / $588,843.66 / $588,843.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $562,341.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436,515.83 / $512,861.38 / $630,957.34
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537,031.80 / $562,341.33 / $616,595.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $562,341.33