go back

South Carolina 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
$590,665.09 / $590,665.09 / $1,947,380.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478,157.46 / $562,538.18 / $590,665.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $596,796.76 / $769,270.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536,663.75 / $563,231.27 / $674,814.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409,481.04 / $562,538.18 / $885,997.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409,481.04 / $409,481.04 / $656,242.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $593,908.60 / $671,375.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516,442.29 / $516,442.29 / $852,129.78