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Oregon 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 $100,000 · 10th–90th $100,000–$1,122,0180%50%90th$100,000Professionalmedian $562,341 · 10th–90th $562,341–$707,9460%50%90th$562,341$0.1$1.0$20.0$500.0$10.0K$200.0K$5.0M

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 / $1,122,018.45 / $1,348,962.88
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
$537,031.80 / $562,341.33 / $676,082.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $562,341.33 / $1,174,897.55
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $616,595.00 / $1,122,018.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $588,843.66 / $870,963.59
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $100,000.00 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $616,595.00 / $1,023,292.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $645,654.23 / $707,945.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $1,148,153.62 / $1,348,962.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346,736.85 / $512,861.38 / $616,595.00