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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

Facilitymedian $630,957 · 10th–90th $562,341–$2,137,9620%20%40%10th90th$630,957Professionalmedian $562,341 · 10th–90th $549,541–$616,5950%50%10th90th$562,341$50.0$500.0$5.0K$50.0K$500.0K

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
$588,843.66 / $794,328.23 / $2,398,832.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $616,595.00 / $707,945.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $676,082.98
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $602,559.59 / $1,000,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $54.95
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
$436,515.83 / $549,540.87 / $575,439.94