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Texas 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 $724,436 · 10th–90th $512,861$1,445,4400%20%40%10th90th$724,436Professionalmedian $562,341 · 10th–90th $562,341$660,6930%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 / $831,763.77 / $1,348,962.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $630,957.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407,380.28 / $933,254.30 / $1,819,700.86
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $562,341.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $562,341.33 / $676,082.98
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977,237.22 / $977,237.22 / $977,237.22
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977,237.22 / $977,237.22 / $977,237.22
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $602,559.59 / $1,122,018.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $645,654.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363,078.05 / $537,031.80 / $676,082.98
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $1,000,000.00 / $2,089,296.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $602,559.59 / $1,122,018.45
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
$512,861.38 / $562,341.33 / $851,138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436,515.83 / $512,861.38 / $602,559.59
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $562,341.33 / $616,595.00