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Vermont 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
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $645,654.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $588,843.66 / $676,082.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588,843.66 / $588,843.66 / $588,843.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61,659.50 / $61,659.50 / $630,957.34