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Pennsylvania 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 $1,148,154 · 10th–90th $562,341–$1,698,2440%20%10th90th$1,148,154Professionalmedian $562,341 · 10th–90th $562,341–$691,8310%50%90th$562,341$0.5$10.0$200.0$5.0K$100.0K$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
$562,341.33 / $1,148,153.62 / $1,698,243.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $676,082.98
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $616,595.00 / $758,577.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $588,843.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $562,341.33 / $676,082.98
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $831,763.77
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $588,843.66
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $741,310.24 / $1,122,018.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794,328.23 / $794,328.23 / $794,328.23
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602,559.59 / $1,148,153.62 / $1,479,108.39
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $562,341.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346,736.85 / $512,861.38 / $758,577.58